Organization
PROLIANCE SURGEONS, INC., P.S.
Active
Other names
Proliance Everett Bone and Joint Surgery Center
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
1100 PACIFIC AVE STE 100, EVERETT, WA 98201-4261
(425) 317-8535
(425) 317-8628
Mailing address
1100 PACIFIC AVE STE 300, EVERETT, WA 98201-4261
(425) 339-2433
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
601484763
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
137868
WA LABOR & INDUSTRIES
WA
05
—
2093710
—
WA
Enumeration date
06/05/2006
Last updated
12/06/2023
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