Organization
PROLIANCE MSSP ACO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK BARNHART (CEO)
(206) 838-3796
Entity
Organization
Contact information
Practice address
805 MADISON ST STE 901, SEATTLE, WA 98104-1172
(206) 264-8100
Mailing address
805 MADISON ST STE 901, SEATTLE, WA 98104-1172
(206) 264-8100
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
07/24/2019
Last updated
07/24/2019
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