# PROLIANCE SURGEONS INC P S

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Proliance Surgery Center at Rainier
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972565745
- **Authorized official:** CORI M. PLEASANT (DEL CRED & ENROLLMENT MANAGER)
- **Authorized official phone:** (206) 838-2585

## Contact information

- **Practice address:** 3801 5TH ST SE STE 210, PUYALLUP, WA 98374-2106
- **Practice address phone:** (253) 445-4285
- **Practice address fax:** (253) 435-4783
- **Mailing address:** 3801 5TH ST SE STE 110, PUYALLUP, WA 98374-2106
- **Mailing address phone:** (253) 845-9585

## Taxonomy

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

## Other

- **Enumeration date:** 04/05/2006
- **Last updated:** 10/23/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1060684 | — | WA |
| 01 | — | 219719 | WA L&I | WA |