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PROLIANCE SURGEONS INC. P.S. NPI 1952399123


NPI Information

NPI: 1952399123
Provider Name: PROLIANCE SURGEONS, INC., P.S.

Doing Business As: PROLIANCE RAINIER ORTHOPEDIC INSTITUTE

Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
3801 5TH ST SE STE 110
PUYALLUP, WA
ZIP 98374
Phone: (253) 845-9585
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PROLIANCE SURGEONS, INC., P.S. is an orthopaedic surgery in Puyallup, WA. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. PROLIANCE SURGEONS, INC., P.S. NPI is 1952399123. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Proliance Rainier Orthopedic Institute.

The provider's business location address is:

3801 5TH ST SE STE 110
PUYALLUP, WA
ZIP 98374-106
Phone: (253) 845-9585
Fax: (253) 435-4785

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 10/11/2005 and was last updated on 8/22/2022.


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
12471M1202XRadiologic TechnologistMagnetic Resonance ImagingNo
2261QM1200XClinic/CenterMagnetic Resonance Imaging (MRI)No
3261QM1300XClinic/CenterMulti-SpecialtyNo
4332B00000XDurable Medical Equipment & Medical SuppliesNo
5363AS0400XPhysician AssistantSurgicalNo
6207X00000XOrthopaedic SurgeryYes

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
10532700022OTHERWASHINGTONDME
21046356MEDICAIDWASHINGTON
3218643OTHERWASHINGTONWA L&I

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

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