Organization · Type 2 NPI

Proliance Surgeons, Inc., P.s.

Ambulatory Surgical Clinic/Center · Lakewood, WA

NPI number 1194727883 Active

Practice location

7308 Bridgeport Way W Ste 102
Lakewood, WA 98499-8000

Fax (253) 582-1617

Specialties and licenses

Taxonomy	Code	License
Ambulatory Surgical Clinic/Center Primary	261QA1903X	601484763 (WA)

Ambulatory Surgical Clinic/Center: Definition to come...

NPI record

NPI: 1194727883
Entity type: Organization (Type 2)
Issued: Aug 11, 2005
Last updated: Dec 6, 2023
Status: Active
Subpart: Yes of Proliance Surgeons, Inc. P.s.

Other names

<unavail>
Proliance Puget Sound Surgery Center · doing business as
Lakewood Surgery Center (fka) · other name

Authorized official

Cori M. Pleasant
Del Cred & Enrollment Manager
(206) 838-2585

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1194727883

Proliance Surgeons, Inc., P.s.'s National Provider Identifier is 1194727883, issued on Aug 11, 2005. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Lakewood, WA. The record was last updated on Dec 6, 2023.