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Organization
PROLIANCE SURGEONS, INC., P.S.
Active
Organization
PROLIANCE SURGEONS, INC., P.S.
Active
Other names
Proliance Imaging Center at First Hill
Organization subpart
No
Provider details
NPI number
Authorized official
CORI M. PLEASANT (MGR PROVIDER RELATIONS/ENROLLMENT)
(206) 838-2585
Entity
Organization
Contact information
Practice address
1101 MADISON ST STE 580, SEATTLE, WA 98104-4305
(206) 400-7625
(206) 832-0586
Mailing address
1101 MADISON ST STE 950, SEATTLE, WA 98104-3592
(206) 400-7625
(206) 274-4881
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
Primary
—
—
2471S1302X
Sonography Radiologic Technologist
—
—
261QR0200X
Radiology Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2166571
—
WA
Enumeration date
01/07/2020
Last updated
09/02/2022
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