# PROLIANCE SURGEONS, INC., P.S.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Seattle Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811936990
- **Authorized official:** MRS. LAURA KLEISLE (CHIEF RISK OFFICER)
- **Authorized official phone:** (206) 838-2590

## Contact information

- **Practice address:** 900 TERRY AVE FL 3, SEATTLE, WA 98104-4232
- **Practice address phone:** (206) 382-1021
- **Practice address fax:** (206) 382-9369
- **Mailing address:** 900 TERRY AVE FL 3, SEATTLE, WA 98104-4232
- **Mailing address phone:** (206) 382-1021
- **Mailing address fax:** (206) 382-1026

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 601484763 | WA | Yes |

## Other

- **Enumeration date:** 06/05/2006
- **Last updated:** 05/28/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1045762 | — | WA |
| 01 | — | 208954 | WA L&I | WA |