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Contact Information

PROLIANCE SURGEONS INC P S
12911 120TH AVE NE STE H220
KIRKLAND, WA98034-3064
 Phone: 425-823-4224
 Fax: 425-820-8975
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hand Surgery

207XS0106X 02 Physician/General Surgery
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Hand

2251H1200X 65 Physical Therapist in Private Practice
 

Hand

225XH1200X 67 Occupational Therapist in Private Practice
 

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Surgery of the Hand

2086S0105X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for PROLIANCE SURGEONS INC P S

NPI Number 1134165897
LBN Legal business name PROLIANCE SURGEONS INC P S
Authorized official CORI PLEASANT - (DEL CRED & ENROLLMENT MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/21/2006
Last updated 05/20/2026 - About 2 weeks ago
Identifiers
WA License # 601484763
WA Medicaid 1042990
WA Other 0161258 LNI
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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