Proliance Surgeons, Inc., P.S.
May also be knows as Proliance Eastside Ent
Otolaryngology Physician in Kirkland, WA(View on Map)
Legal Business Name
Proliance Surgeons, Inc., P.S.
Also Known As
Proliance Eastside Ent
NPI Number
1528304292
NPI Type
Organization
Enumeration Date
12/27/2012
Specialties
(Taxonomies)Name
Code
207Y00000X
261QM1300X
207YX0905X
363AS0400X
Primary Taxonomy
Yes
No
No
No
Contact
Information
Purpose
Mailing
Location
Address
1800 116TH AVE NE STE 102
12333 NE 130TH LN STE 440
City
Bellevue
Kirkland
State
WA
WA
Postal Code
98004-3043
98034-7467
Country
US
US
Telephone Number
N/A
(425) 899-3838
Authorized Official
Name
Mrs. Laura Kleisle
Title or Position
CHIEF RISK OFFICER
Telephone Number
(206) 838-2590
Identifiers
Identifier
2001403
222338
Identifier State
WA
WA
Identifier Issuer
Unknown
WA LABOR & INDUSTRIES
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 05/27/2021
Provider Address
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