Organization
PROLIANCE SURGEONS, INC., P.S.
Active
Other names
Proliance Surgeons Seattle Orthopedic Center-ASC
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
2409 N 45TH ST, SEATTLE, WA 98103-6907
(206) 633-8100
(206) 633-6073
Mailing address
2409 N 45TH ST, SEATTLE, WA 98103-6907
(206) 633-8100
(206) 633-6073
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
601484763
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043814
—
WA
01
—
200215
WA LABOR & INDUSTRIES
WA
Enumeration date
06/05/2006
Last updated
12/06/2023
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