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Contact Information

PROLIANCE SURGEONS, INC., P.S.
3801 5TH ST SE STE 110
PUYALLUP, WA98374-2106
 Phone: 253-845-9585
 Fax: 253-435-4785
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Magnetic Resonance Imaging (MRI)

261QM1200X
 

Magnetic Resonance Imaging Radiologic Technologist

2471M1202X
 

Multi-Specialty

261QM1300X 70 Clinic or Group Practice
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for PROLIANCE SURGEONS INC PS · (Female)

NPI # 1952399123
Status Active
Credentials
Entity Individual
Enumeration date 10/11/2005
Last updated 08/22/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers
  • WA Medicaid 1046356
  • WA Other 0532700022 DME
  • WA Other 218643 WA L&I
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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