Proliance Surgeons, Inc., P.S.
May also be knows as Proliance Rainier Orthopedic Institute
Orthopaedic Surgery Physician in Puyallup, WA(View on Map)
Legal Business Name
Proliance Surgeons, Inc., P.S.
Also Known As
Proliance Rainier Orthopedic Institute
NPI Number
1952399123
NPI Type
Organization
Enumeration Date
10/11/2005
Specialties
(Taxonomies)Name
Code
207X00000X
332B00000X
261QM1200X
2471M1202X
261QM1300X
363AS0400X
Primary Taxonomy
Yes
No
No
No
No
No
Contact
Information
Purpose
Mailing
Location
Address
3801 5TH ST SE STE 110
3801 5TH ST SE STE 110
City
Puyallup
Puyallup
State
WA
WA
Postal Code
98374-2106
98374-2106
Country
US
US
Telephone Number
(253) 845-9585
(253) 845-9585
Authorized Official
Name
Cori Pleasant
Title or Position
MGR PROVIDER RELATIONS/ENROLLMENT
Telephone Number
(206) 838-2585
Identifiers
Identifier
0532700022
1046356
218643
Identifier State
WA
WA
WA
Identifier Issuer
DME
Unknown
WA L&I
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 08/22/2022
Provider Address
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Good Samaritan Community Healthcare
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Puyallup, WASpecialties: Family Medicine PhysicianInternal Medicine PhysicianNephrology PhysicianObstetrics & Gynecology PhysicianOrthopaedic Surgery PhysicianPain Medicine (Anesthesiology) PhysicianPediatric Nurse PractitionerPulmonary Disease Physician