PROLIANCE SURGEONS INC P S NPI 1972073799

NPI Information

  • NPI: 1972073799
  • Provider Name: PROLIANCE SURGEONS INC P S
  • Classification: Clinic/Center - 261QU0200X
  • Specialization: Urgent Care
  • Entity Type: Organization
  • :
  • CLIA Number: 50D2160644
  • Address: 150 ANDOVER PARK W
    TUKWILA, WA
    ZIP 98188
  • Phone: (425) 979-2663

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NPI Details

PROLIANCE SURGEONS INC P S is an urgent care clinic center in Tukwila, WA. PROLIANCE SURGEONS INC P S NPI is 1972073799. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider .

The provider's business location address is:

150 ANDOVER PARK W
TUKWILA, WA
ZIP 98188-801
Phone: (425) 979-2663
Fax: (425) 656-5047

The provider's authorized official is Cori Pleasant .
The authorized official title is Del Cred & Enrollment Manager and has the following contact phone number (206) 838-2585.

The CLIA number assigned to this NPI record is 50D2160644 - other - clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/5/2018 and was last updated on 10/29/2025.

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
1207X00000XOrthopaedic SurgeryNo
2207XX0005XOrthopaedic SurgerySports MedicineNo
3261QU0200XClinic/CenterUrgent CareYes

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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