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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., P.S.

NPI Number 1770764342
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 11/23/2007
Last updated 11/01/2022 - About 4 years ago
Identifiers
WA License # 601484763
WA Medicaid 1060556
WA Other 227718 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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