Organization
PROLIANCE SURGERY CENTER AT VALLEY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PEGGY WELLMAN (VP ASC OPERATIONS)
(206) 838-3767
Entity
Organization
Contact information
Practice address
4009 TALBOT ROAD S, SUITE 200, RENTON, WA 98055
(425) 226-2041
(425) 226-2402
Mailing address
4011 TALBOT RD S STE 300, RENTON, WA 98055-5791
(425) 226-2041
(425) 226-2402
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
06/01/2020
Last updated
08/20/2021
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