| NPI | 1790724862 |
|---|---|
| Doing Business As | PROLIANCE EASTSIDE SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | LAURA KLEISLE Chief Risk Officer 206-838-2590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: WA 601484763) |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2021-05-28 |