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Organization

PROLIANCE SURGEONS, INC., P.S.

Active
Other names
Seattle 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
900 TERRY AVE FL 3, SEATTLE, WA 98104-4232
(206) 382-1021
(206) 382-9369
Mailing address
900 TERRY AVE FL 3, SEATTLE, WA 98104-4232
(206) 382-1021
(206) 382-1026

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
601484763
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1045762
WA
01
208954
WA L&I
WA
Enumeration date
06/05/2006
Last updated
05/28/2021
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