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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., P.S.

NPI # 1952399123
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 10/11/2005
Last updated 08/22/2022 - About 4 years ago
Identifiers
WA Medicaid 1046356
WA Other 0532700022 DME
WA Other 218643 WA L&I
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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