Organization
PROLIANCE SURGEONS, INC., P.S.
Active
Other names
Proliance Orthopedic Associates Ambulatory Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURA KLEISLE (CHIEF RISK OFFICER)
(206) 838-2590
Entity
Organization
Contact information
Practice address
4033 TALBOT RD S STE 270, RENTON, WA 98055-5767
(425) 226-2041
(425) 226-2405
Mailing address
4033 TALBOT RD S STE 270, RENTON, WA 98055-5767
(425) 226-2041
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
601484763
WA
Other
Enumeration date
06/07/2006
Last updated
05/28/2021
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