PROLIANCE SURGEONS INC. P.S. NPI 1972565745

NPI Information

PROLIANCE SURGEONS, INC., P.S. is an ambulatory surgical clinic center in Puyallup, WA. PROLIANCE SURGEONS, INC., P.S. NPI is 1972565745. The provider is registered as an organization entity type.
The provider Is Doing Business As Proliance Surgery Center At Rainier.

The provider's business location address is:

3801 5TH ST SE STE 210
PUYALLUP, WA
ZIP 98374-106
Phone: (253) 445-4285
Fax: (253) 435-4783

The provider's authorized official is Cori M. Pleasant .
The authorized official title is Del Cred & Enrollment Manager and has the following contact phone number (206) 838-2585.

The CLIA number assigned to this NPI record is 50D2032742 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/5/2006 and was last updated on 12/6/2023.

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:

Other Identifiers

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

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