Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Proliance Surgeons, Inc , P.s.

Organization Plastic Surgery Physician · NPI 1841610169

Proliance Surgeons, Inc , P.s. is a Plastic Surgery Physician in Renton, Washington. Works from 2 locations. Licensed in Washington.

Licensed in
WA
In the registry since
2014
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

17930 Talbot Rd S
Renton, WA 98055-6230
Phone: (425) 228-3187
Fax: (425) 228-7972
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 23925 225th Way Se Ste B, Maple Valley, WA 98038-5291 — (425) 228-3187

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X
Plastic Surgery Physician Taxonomy 208200000X · Licence 601484763 (WA)

Record details

NPI number1841610169
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Laura Kleisle — Chief Risk Officer · (206) 838-2590
Other names Plastic & Reconstructive Surgeons; Plastic & Reconstructive Surgeons
NPI enumeratedApril 25, 2014
Last updated in NPPESJuly 28, 2022
Certification dateJuly 28, 2022
Mailing address17930 Talbot Rd S, Renton, WA 98055-6230

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