| NPI | 1184106262 |
|---|---|
| Doing Business As | PROLIANCE ORTHOPAEDICS AND SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | CORI PLEASANT Del Cred & Enrollment Manager 206-838-2585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: WA 601484763) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: WA 601484763) |
| 208100000X Physical Medicine & Rehabilitation (Licence: WA 601484763) | |
| 207X00000X Orthopaedic Surgery (Licence: WA 601484763) | |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2025-10-30 |