PROLIANCE SURGEONS INC. P.S. NPI 1386687747

NPI Information

NPI: 1386687747
Provider Name: PROLIANCE SURGEONS INC., P.S.

Doing Business As: PROLIANCE SURGEONS EDMONDS ORTHOPEDIC CENTER

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

Specialization: Multi-Specialty

Address:
7320 216TH ST SW STE 320
EDMONDS, WA
ZIP 98026
Phone: (425) 673-3900
Get Directions

PROLIANCE SURGEONS INC., P.S. is a multi-specialty clinic center in Edmonds, WA. PROLIANCE SURGEONS INC., P.S. NPI is 1386687747. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Proliance Surgeons Edmonds Orthopedic Center.

The provider's business location address is:

7320 216TH ST SW STE 320
EDMONDS, WA
ZIP 98026-006
Phone: (425) 673-3900
Fax: (425) 673-3910

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 6/14/2006 and was last updated on 8/19/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207LP2900X	Anesthesiology	Pain Medicine			No
2	207X00000X	Orthopaedic Surgery		601484763	WASHINGTON	No
3	208VP0014X	Pain Medicine	Interventional Pain Medicine	601484763	WASHINGTON	No
4	2251X0800X	Physical Therapist	Orthopedic			No
5	225X00000X	Occupational Therapist				No
6	332B00000X	Durable Medical Equipment & Medical Supplies				No
7	363AM0700X	Physician Assistant	Medical			No
8	363AS0400X	Physician Assistant	Surgical			No
9	261QM1300X	Clinic/Center	Multi-Specialty			Yes

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
1	49391	OTHER	WASHINGTON	WA L&I
2	0532700040	OTHER	WASHINGTON	DME
3	1043983	MEDICAID	WASHINGTON

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: 5/5/2024

NPI Synchronization or Removal

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