| NPI | 1205307253 |
|---|---|
| Doing Business As | PROORTHO |
| Entity Type | Organization |
| Authorized Contact | LAURA KLEISLE Chief Risk Officer 206-838-2590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine |
| 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery | |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 363AS0400X Physician Assistant, Surgical | |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2021-05-28 |