| NPI | 1023051489 |
|---|---|
| Doing Business As | PROLIANCE SURGEONS SKAGIT NORTHWEST PHYSICAL THERAPY |
| Doing Business As | PROLIANCE SURGEONS SKAGIT NORTHWEST ORTHOPEDICS MRI |
| Doing Business As | PROLIANCE SURGEONS SKAGIT NORTHWEST ORTHOPEDICS |
| Entity Type | Organization |
| Authorized Contact | CORI M. PLEASANT Mgr Provider Relations/Enrollment 206-838-2585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WA 601484763) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: WA 601484763) |
| 213E00000X Podiatrist (Licence: WA 601484763) | |
| 225100000X Physical Therapist (Licence: WA 601484763) | |
| 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2022-08-23 |