| NPI | 1275726739 |
|---|---|
| Doing Business As | PROLIANCE THE CHILDREN AND FAMILY EYE DOCTORS |
| Doing Business As | PROLIANCE EASTSIDE ENT |
| Entity Type | Organization |
| Authorized Contact | CORI M. PLEASANT Credentialing & Enrollment Manager 206-838-2585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| 207Y00000X Otolaryngology | |
| Enumeration Date | 2007-08-19 |
| Last Update Date | 2025-05-02 |