Organization
PROLIANCE SURGEONS INC., P.S.
Active
Other names
Northwest Orthopaedic Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURA KLEISLE (CHIEF RISK OFFICER)
(206) 838-2590
Entity
Organization
Contact information
Practice address
9730 3RD AVE NE STE 201, SEATTLE, WA 98115-2023
(206) 526-8444
(206) 526-0521
Mailing address
9730 3RD AVE NE STE 201, SEATTLE, WA 98115-2023
(206) 526-8444
(206) 526-0521
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
—
1042992
—
WA
01
—
49385
WA LABOR & INDUSTRIES
WA
Enumeration date
06/05/2006
Last updated
05/27/2021
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