Organization
PROLIANCE SURGEONS, INC., P.S.
Active
Other names
Orthopedic Specialists of Seattle
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURA KLEISLE (CHIEF RISK OFFICER)
(206) 838-2590
Entity
Organization
Contact information
Practice address
1109 N 36TH ST, SEATTLE, WA 98103-8957
(206) 633-8100
(206) 633-6107
Mailing address
2409 N 45TH ST, SEATTLE, WA 98103-6907
(206) 633-8100
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
—
—
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
207XX0801X
Orthopaedic Trauma Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
07/16/2021
Last updated
07/16/2021
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