Organization
PROLIANCE SURGEONS, INC., P.S.
Active
Organization
PROLIANCE SURGEONS, INC., P.S.
Active
Other names
Proliance Southwest Seattle Orthopedics
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CORI M. PLEASANT (DEL CRED & ENROLLMENT MANAGER)
(206) 838-2585
Entity
Organization
Contact information
Practice address
16259 SYLVESTER RD SW STE 501, BURIEN, WA 98166-3059
(206) 243-1100
(206) 431-0835
Mailing address
16259 SYLVESTER RD SW STE 501, BURIEN, WA 98166-3059
(206) 243-1100
(206) 431-0835
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1054932
—
WA
01
—
192640139
OWCP
WA
01
—
227684
LABOR & INDUSTRIES
WA
Enumeration date
12/20/2007
Last updated
09/27/2023
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