| NPI | 1417512021 |
|---|---|
| Doing Business As | PROLIANCE ORTHOPEDIC ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | LAURA KLEISLE Chief Risk Officer 206-838-2590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery |
| 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery | |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine | |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine | |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 363AS0400X Physician Assistant, Surgical | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2019-05-08 |
| Last Update Date | 2021-05-27 |