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Organization
PROLIANCE SURGEONS INC P S
Active
Organization
PROLIANCE SURGEONS INC P S
Active
Other names
Proliance Surgery Center at Rainier
Organization subpart
No
Provider details
NPI number
Authorized official
CORI M. PLEASANT (DEL CRED & ENROLLMENT MANAGER)
(206) 838-2585
Entity
Organization
Contact information
Practice address
3801 5TH ST SE STE 210, PUYALLUP, WA 98374-2106
(253) 445-4285
(253) 435-4783
Mailing address
3801 5TH ST SE STE 110, PUYALLUP, WA 98374-2106
(253) 845-9585
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
601484763
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1060684
—
WA
01
—
219719
WA L&I
WA
Enumeration date
04/05/2006
Last updated
10/23/2024
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