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PROLIANCE SURGEONS INC. P.S. NPI 1629409297


NPI Information

NPI: 1629409297
Provider Name: PROLIANCE SURGEONS, INC., P.S.

Doing Business As: PROLIANCE SURGEONS SKAGIT NORTHWEST ORTHOPEDICS/PHYSICAL THERAPY

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

Specialization: Multi-Specialty

Address:
1500 CONTINENTAL PL
MOUNT VERNON, WA
ZIP 98273
Phone: (360) 424-7041
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PROLIANCE SURGEONS, INC., P.S. is a multi-specialty clinic center in Mount Vernon, WA. PROLIANCE SURGEONS, INC., P.S. NPI is 1629409297. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Proliance Surgeons Skagit Northwest Orthopedics/physical Therapy.

The provider's business location address is:

1500 CONTINENTAL PL
MOUNT VERNON, WA
ZIP 98273-105
Phone: (360) 424-7041
Fax: (360) 424-2418

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 12/9/2013 and was last updated on 8/25/2022.


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
1207X00000XOrthopaedic Surgery601484763WASHINGTONNo
2208100000XPhysical Medicine & Rehabilitation601484763WASHINGTONNo
3213ES0103XPodiatristFoot & Ankle Surgery601484763WASHINGTONNo
4225100000XPhysical Therapist601484763WASHINGTONNo
5332B00000XDurable Medical Equipment & Medical SuppliesNo
6363AS0400XPhysician AssistantSurgical601484763WASHINGTONNo
7261QM1300XClinic/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
1121724OTHERWASHINGTONWA LABOR & INDUSTRIES
21042545MEDICAIDWASHINGTON

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.