Organization
PROLIANCE SURGEONS INC., P.S.
Active
Organization
PROLIANCE SURGEONS INC., P.S.
Active
Other names
PROLIANCE SURGEONS ORTHOPEDIC SPECIALISTS OF SEATTLE
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
2409 N 45TH ST, SEATTLE, WA 98103-6907
(206) 633-8100
(206) 633-6107
Mailing address
2409 N 45TH ST, SEATTLE, WA 98103-6907
(206) 633-8100
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
601484763
WA
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
207XX0801X
Orthopaedic Trauma Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1045421
—
WA
01
—
49718
WA LABOR & INDUSTRIES
WA
Enumeration date
05/20/2006
Last updated
09/27/2023
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