NPI 1134514433

Proliance Surgeons, INC., P.S.

Organisation Pediatric Sports Medicine Physician Seattle, WA

Practice location

Address: 3216 NE 45th Pl STE 304, Seattle, WA 98105-4028
Phone: (206) 386-2600
Fax: (206) 622-1644
Mailing address: 601 Broadway Fl 6, Seattle, WA 98122-5330

Authorised official

Name: Laura Kleisle
Title: Chief Risk Officer
Phone: (206) 838-2590

Registered specialties

Pediatric Sports Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2080S0010X Licence 601484763 (WA)

Other Pediatrics providers in Washington →

Registry record

NPI: 1134514433
Entity type: Organization
NPI issued: 2 Apr 2015
Record last updated: 27 May 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.