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Contact Information

PROLIANCE SURGEONS, INC., P.S.
1100 PACIFIC AVE STE 300
EVERETT, WA98201-4261
 Phone: 425-339-2433
 Fax: 425-339-8273
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Hand Surgery

207XS0106X 02 Physician/General Surgery
 

Magnetic Resonance Imaging (MRI)

261QM1200X
 

Magnetic Resonance Imaging Radiologic Technologist

2471M1202X
 

Multi-Specialty

261QM1300X 70 Clinic or Group Practice
 

Orthopaedic Surgery of the Spine

207XS0117X 02 Physician/General Surgery
 

Radiology

261QR0200X 74 Radiation Therapy Center
 

Surgical

363AS0400X 97 Physician Assistant
 

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
Indicates primary specialty

NPI Profile & details for PROLIANCE SURGEONS, INC., P.S.

NPI # 1750320701
LBN Legal business name PROLIANCE SURGEONS, INC., P.S.
Authorized official CORI PLEASANT - (MGR PROVIDER RELATIONS/ENROLLMENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/05/2006
Last updated 08/22/2022 - About 4 years ago
Identifiers
WA Medicaid 2012655
WA Other 123308 WA LABOR & INDUSTRIES
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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