| NPI | 1952399123 |
|---|---|
| Doing Business As | PROLIANCE RAINIER ORTHOPEDIC INSTITUTE |
| Doing Business As | PROLIANCE PROSPORTS IMAGING NW MRI |
| Entity Type | Organization |
| Authorized Contact | CORI M. PLEASANT Mgr Provider Relations/Enrollment 206-838-2585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 2471M1202X Radiologic Technologist, Magnetic Resonance Imaging |
| 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 363AS0400X Physician Assistant, Surgical | |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2022-08-22 |