| NPI | 1629409297 |
|---|---|
| Doing Business As | PROLIANCE SURGEONS SKAGIT NORTHWEST ORTHOPEDICS/PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | CORI M. PLEASANT Mgr Provider Relations/Enrollment 206-838-2585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WA 601484763) |
| 208100000X Physical Medicine & Rehabilitation (Licence: WA 601484763) | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: WA 601484763) | |
| 225100000X Physical Therapist (Licence: WA 601484763) | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 363AS0400X Physician Assistant, Surgical (Licence: WA 601484763) | |
| Enumeration Date | 2013-12-09 |
| Last Update Date | 2022-08-25 |