Organization
PROLIANCE SURGEONS INC P S
Active
Organization
PROLIANCE SURGEONS INC P S
Active
Other names
Proliance Surgeons Orthopedic Specialists of Seattle
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
5350 TALLMAN AVE NW STE 500, SEATTLE, WA 98107-5902
(206) 784-8833
(206) 784-0676
Mailing address
2409 N 45TH ST, SEATTLE, WA 98103-6907
(206) 633-8100
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
601484763
WA
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1045421
—
WA
01
—
49718
WA LABOR & INDUSTRIES
WA
Enumeration date
12/14/2006
Last updated
11/12/2024
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