PROLIANCE SURGEONS INC. P.S. NPI 1821158544

NPI Information

NPI: 1821158544
Provider Name: PROLIANCE SURGEONS, INC., P.S.
Classification: Clinic/Center - 261QA1903X
Specialization: Ambulatory Surgical
Entity Type: Organization
Doing Business As: CASCADE EAR NOSE AND THROAT SURGERY CENTER
Address: 111 S 13TH ST
MOUNT VERNON, WA
ZIP 98274
Phone: (360) 336-2178

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NPI Details

PROLIANCE SURGEONS, INC., P.S. is an ambulatory surgical clinic center in Mount Vernon, WA. PROLIANCE SURGEONS, INC., P.S. NPI is 1821158544. The provider is registered as an organization entity type.
The provider Is Doing Business As Cascade Ear Nose And Throat Surgery Center.

The provider's business location address is:

111 S 13TH ST
MOUNT VERNON, WA
ZIP 98274-105
Phone: (360) 336-2178
Fax: (360) 588-7840

The provider's authorized official is David G Fitzgerald .
The authorized official title is Ceo and has the following contact phone number (206) 838-2599.

The enumeration date for this NPI number is 12/11/2006 and was last updated on 12/27/2013.

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	261QA1903X	Clinic/Center	Ambulatory Surgical	601484763	WASHINGTON	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	7009285	MEDICAID	WASHINGTON
2	G001147205	MEDICARE PIN	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: 11/21/2025

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