Organization
PROLIANCE SURGEONS, INC., P.S.
Active
Other names
Proliance Eastside Surgical Specialists
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
1231 116TH AVE NE STE 930, BELLEVUE, WA 98004-3804
(425) 668-1916
(425) 688-1901
Mailing address
1231 116TH AVE NE STE 930, BELLEVUE, WA 98004-3804
(425) 668-1916
(425) 688-1901
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
—
—
208600000X
Surgery Physician
Primary
601484763
WA
208C00000X
Colon & Rectal Surgery Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2024876
—
WA
01
—
307116
WA LNI
WA
Enumeration date
01/23/2013
Last updated
08/17/2023
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