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Contact Information

PROLIANCE SURGEONS, INC., P.S.
21911 76TH AVE W STE 211
EDMONDS, WA98026-7918
 Phone: 425-775-6651
 Fax: 425-670-6718
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
 

Audiologist

231H00000X 64 Audiologist
 

Multi-Specialty

261QM1300X 70 Clinic or Group Practice
 

Otology & Neurotology

207YX0901X 04 Physician/Otolaryngology
Indicates primary specialty

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

NPI Number 1770764342
Status Active
Credentials
Entity Individual
Enumeration date 11/23/2007
Last updated 11/01/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers
  • WA License # 601484763
  • WA Medicaid 1060556
  • WA Other 227718 LABOR & INDUSTRIES
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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