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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