Organization
PROLIANCE SURGEONS, INC., P.S.
Active
Other names
ProOrtho
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURA KLEISLE (CHIEF RISK OFFICER)
(206) 838-2590
Entity
Organization
Contact information
Practice address
901 BOREN AVE STE 711, SEATTLE, WA 98104-3301
(425) 823-4000
(425) 323-6868
Mailing address
12911 120TH AVE NE STE G10, KIRKLAND, WA 98034-3048
(425) 823-4000
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
—
—
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
12/16/2018
Last updated
05/28/2021
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