Organization
PROLIANCE SURGEONS, INC., P.S.
Active
Other names
Proliance South Seattle Otolaryngology
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
16259 SYLVESTER RD SW STE 504, BURIEN, WA 98166-3059
(206) 242-3696
(206) 246-1078
Mailing address
16259 SYLVESTER RD SW STE 504, BURIEN, WA 98166-3059
(206) 242-3696
(206) 246-1078
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
—
—
231H00000X
Audiologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1054623
—
WA
01
—
227694
WA L&I
WA
Enumeration date
11/23/2007
Last updated
06/21/2024
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