Proliance Puyallup Surgeons

LBN: Proliance Surgeons, Inc., P.S.
Proliance Puyallup Surgeons is an health care organization with primary practice located at 1519 3Rd St Se Ste 210 , Puyallup WA 98372-3742. The organization recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Oncology, Allopathic & Osteopathic Physicians / Urology, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, Ambulatory Health Care Facilities / Multi-Specialty, Suppliers / Durable Medical Equipment & Medical Supplies. Allopathic & Osteopathic Physicians / Surgery is the primary health care specialty. Proliance Surgeons, Inc., P.S. can be contacted via phone (253) 840-4994, or through Pleasant, Cori M. via phone (206) 838-2585.

Contact Information

Primary practice address
1519 3Rd St Se Ste 210 Puyallup WA 98372-3742
Phone: (253) 840-4994
Fax: (253) 770-1105
Website:
Map and Directions
Authorized official contact:
Name: Pleasant, Cori M.
Phone: (206) 838-2585

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 601484763 Washington
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X 601484763 Washington
Allopathic & Osteopathic Physicians / Urology 208800000X 601484763 Washington
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 601484763 Washington
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1255736971
LBN Legal business name Proliance Surgeons, Inc., P.S.
DBA Doing business as Proliance Puyallup Surgeons
Authorized official Pleasant, Cori M.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 23rd, 2014
Last updated Nov 1st, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255736971 NPPES
Washington Other 338355 WA LABOR & INDUSTRIES
Washington Other 0532700054 WA LABOR & INDUSTRIES
Washington MEDICAID 2042632 WA LABOR & INDUSTRIES

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