Organization
PROLIANCE SURGEONS, INC., P.S.
Active
Other names
Proliance Imaging Center at First Hill
Organization subpart
No
Provider details
NPI number
Authorized official
CORI M. PLEASANT (MGR PROVIDER RELATIONS/ENROLLMENT)
(206) 838-2585
Entity
Organization
Contact information
Practice address
1101 MADISON ST STE 580, SEATTLE, WA 98104-4305
(206) 400-7625
(206) 832-0586
Mailing address
1101 MADISON ST STE 950, SEATTLE, WA 98104-3592
(206) 400-7625
(206) 274-4881
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
Primary
—
—
2471S1302X
Sonography Radiologic Technologist
—
—
261QR0200X
Radiology Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2166571
—
WA
Enumeration date
01/07/2020
Last updated
09/02/2022
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