Proliance Surgeons, Inc., P.s.

NPI #1578756706 in Redmond, Washington

Provider Information

NPI Number: 1578756706
Entity Type: Organization
Organization Name: Proliance Surgeons, Inc., P.s.
Primary Specialty: Otolaryngology
Enumeration Date: Aug 21, 2007
Last Updated: May 28, 2021

Practice Location

Address: 8301 161ST AVE NE STE 200
City: Redmond
State: Washington
ZIP Code: 98052-3858
Phone: (425) 869-4855

Authorized Official

Name: MRS. LAURA KLEISLE
Title: CHIEF RISK OFFICER
Phone: (206) 838-2590

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary
Clinic/Center - Multi-Specialty — Multi-Specialty	261QM1300X
Physician Assistant - Surgical — Surgical	363AS0400X

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