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PROLIANCE SURGEONS INC. P.S. NPI 1346609575


NPI Information

NPI: 1346609575
Provider Name: PROLIANCE SURGEONS, INC., P.S.

Doing Business As: PROLIANCE SURGEONS MINOR AND JAMES

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
515 MINOR AVE STE 200
SEATTLE, WA
ZIP 98104
Phone: (206) 386-9668
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PROLIANCE SURGEONS, INC., P.S. is a multi-specialty clinic center in Seattle, WA. PROLIANCE SURGEONS, INC., P.S. NPI is 1346609575. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Proliance Surgeons Minor And James.

The provider's business location address is:

515 MINOR AVE STE 200
SEATTLE, WA
ZIP 98104-133
Phone: (206) 386-9668

The provider's authorized official is Cori M. Pleasant .
The authorized official title is Mgr Provider Relations/enrollment and has the following contact phone number (206) 838-2585.

The enumeration date for this NPI number is 2/16/2016 and was last updated on 12/30/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Y00000XOtolaryngologyNo
2213ES0103XPodiatristFoot & Ankle SurgeryNo
3231H00000XAudiologistNo
4261Q00000XClinic/Center601484763WASHINGTONNo
5261QM1300XClinic/CenterMulti-SpecialtyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1352253OTHERWASHINGTONWA LABOR & INDUSTRIES
22057738MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.