Organization
PROLIANCE SURGEONS INC., P.S.
Active
Other names
Proliance Orthopedic Associates, Proliance Orthopedic Associates MRI
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CORI PLEASANT (DEL CRED & ENROLLMENT MANAGER)
(206) 838-2585
Entity
Organization
Contact information
Practice address
4011 TALBOT RD S STE 300, RENTON, WA 98055-5791
(425) 656-5060
(425) 656-5047
Mailing address
4011 TALBOT RD S STE 300, RENTON, WA 98055-5791
(425) 656-5060
(425) 656-5047
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2083X0100X
Occupational Medicine Physician
—
—
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0532700025
DME
WA
05
—
2206468
—
WA
01
—
49370
WA L&I
WA
Enumeration date
06/14/2006
Last updated
05/13/2024
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