Organization
PROLIANCE SURGEONS INC PS
Active
Other names
Proliance Center for Specialty Surgery, Minor and James Surgery Center (FKA)
Organization subpart
No
Provider details
NPI number
Authorized official
CORI M. PLEASANT (DEL CRED & ENROLLMENT MANAGER)
(206) 838-2585
Entity
Organization
Contact information
Practice address
515 MINOR AVE STE 130, SEATTLE, WA 98104-2138
(206) 838-9500
(206) 682-3511
Mailing address
515 MINOR AVE STE 130, SEATTLE, WA 98104-2138
(206) 838-9500
(206) 682-3511
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
601484763
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2069773
—
WA
01
—
353337
WA LABOR & INDUSTRIES
WA
Enumeration date
05/26/2006
Last updated
12/06/2023
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