Plastic & Reconstructive Surgeons

LBN: Proliance Surgeons, Inc., P.S.
Plastic & Reconstructive Surgeons is an health care organization with primary practice located at 17930 Talbot Rd S , Renton WA 98055-6230. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as the primary health care specialty. Proliance Surgeons, Inc., P.S. can be contacted via phone (425) 228-3187, or through Kleisle, Laura via phone (206) 838-2590.

Contact Information

Primary practice address
17930 Talbot Rd S Renton WA 98055-6230
Phone: (425) 228-3187
Fax: (425) 228-7972
Website:
Map and Directions
Authorized official contact:
Name: Kleisle, Laura
Phone: (206) 838-2590

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 601484763 Washington
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X

Profile Details

NPI number 1841610169
LBN Legal business name Proliance Surgeons, Inc., P.S.
DBA Doing business as Plastic & Reconstructive Surgeons
Authorized official Kleisle, Laura
Entity Organization
Organization subpart 1 No
Enumeration date Apr 25th, 2014
Last updated Jul 28th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1841610169 NPPES
Washington MEDICAID 2036917
Washington Other 326119

Popular Providers