Proliance Surgeons, Inc , P.s.
Proliance Surgeons, Inc , P.s. is a Sports Medicine (Family Medicine) Physician in Maple Valley, Washington. Licensed in Washington. Registered with an NPI since 2015.
- Licensed in
- WA
- In the registry since
- 2015
- Specialties on file
- 5
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
24060 SE Kent Kangley RdMaple Valley, WA 98038-6851
Phone: (253) 358-7708
Fax: (425) 656-5047
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Orthopaedic Surgery Physician (primary) | Taxonomy 207X00000X · Licence 601484763 (WA) |
|---|---|
| Sports Medicine (Family Medicine) Physician | Taxonomy 207QS0010X |
| Occupational Medicine Physician | Taxonomy 2083X0100X |
| Surgical Physician Assistant | Taxonomy 363AS0400X |
| Family Nurse Practitioner | Taxonomy 363LF0000X |
Record details
| NPI number | 1962894626 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Laura Kleisle — Chief Risk Officer · (206) 838-2590 |
| Other names | Proliance Orthopedic Associates |
| NPI enumerated | March 4, 2015 |
| Last updated in NPPES | May 28, 2021 |
| Certification date | May 28, 2021 |
| Mailing address | 4011 Talbot Rd S Ste 300, Renton, WA 98055-5791 |
Other providers in Maple Valley
-
Dr. Rodney Tyson Riedel, MD
26458 Maple Valley Black Diamond Rd SE, Maple Valley, WA 98038-8350 · (425) 656-5577