PROLIANCE SURGEONS INC. P.S. NPI 1134514433

NPI Information

  • NPI: 1134514433
  • Provider Name: PROLIANCE SURGEONS, INC., P.S.
  • Classification: Pediatrics - 2080S0010X
  • Specialization: Sports Medicine
  • Entity Type: Organization
  • Doing Business As: ORTHOPEDIC PHYSICIAN ASSOCIATES
  • Address: 3216 NE 45TH PL STE 304
    SEATTLE, WA
    ZIP 98105
  • Phone: (206) 386-2600

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NPI Details

PROLIANCE SURGEONS, INC., P.S. is a sports medicine pediatrics in Seattle, WA. The provider is a pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual engaged in physical exercise (sports) whether as an individual or in team participation. PROLIANCE SURGEONS, INC., P.S. NPI is 1134514433. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Orthopedic Physician Associates.

The provider's business location address is:

3216 NE 45TH PL STE 304
SEATTLE, WA
ZIP 98105-028
Phone: (206) 386-2600
Fax: (206) 622-1644

The provider's authorized official is Laura Kleisle .
The authorized official title is Chief Risk Officer and has the following contact phone number (206) 838-2590.

The enumeration date for this NPI number is 4/2/2015 and was last updated on 5/27/2021.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080S0010XPediatricsSports Medicine601484763WASHINGTONYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12021639MEDICAIDWASHINGTON
249701OTHERWASHINGTONWA LABOR & INDUSTRIES

What is NPI?

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This page was last updated on: 11/21/2025

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