OrganizationActive
Proliance Surgeons, Inc., P.s.
NPI 1134514433 · Pediatric Sports Medicine Physician · Seattle, WA
Provider details
- NPI number
- 1134514433
- Entity type
- Organization
- Primary specialty
- Pediatric Sports Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Laura Kleisle, Chief Risk Officer(206) 838-2590
- License
- 601484763 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3216 Ne 45th Pl Ste 304
Seattle, WA 98105-4028
Phone: (206) 386-2600
Fax: (206) 622-1644
Approximate (ZIP-level) locationGet directions
Mailing address
601 Broadway Fl 6
Seattle, WA 98122-5330
Other names (DBA / former)
- Doing business as
- Orthopedic Physician Associates
- Doing business as
- Orthopedic Physician Associates
Registry dates
- Enumerated
- 2015-04-02
- Last updated
- 2021-05-27
- Certified
- 2021-05-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.