Proliance Puyallup Surgeons – Surgery Physician, NPI 1255736971

Proliance Puyallup Surgeons is a healthcare provider. based in Puyallup, Washington. specializing in Surgery Physician. The organization holds a License No. 601484763 (WA). The NPI Number for Proliance Puyallup Surgeons is 1255736971

Main info

Organization
Name
Proliance Puyallup Surgeons
NPI
1255736971
Phone
(253) 841-9640
Address
1519 3rd St SE Ste 230
Authorized Official
CORI M. PLEASANT MGR PROVIDER RELATIONS/ENROLLMENT
Enumeration Date
23 October 2014
Last Update Date
1 November 2022
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness80
Years active:11State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for Proliance Puyallup Surgeons

  • 1519 3rd St SE Ste 230

    Puyallup, WA 983723742

    Phone: (253) 841-9640

    Fax: (253) 841-7645

    Type: Location

  • 1519 3RD ST SE STE 210

    PUYALLUP, WA 983723742

    Phone: (253) 840-4994

    Fax: (253) 770-1105

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98372)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for Proliance Puyallup Surgeons?
Proliance Puyallup Surgeons — NPI 1255736971 — is the standard way to identify this listing.
Does the file indicate Proliance Puyallup Surgeons is practicing under active NPI?
Directory data currently reports Proliance Puyallup Surgeons as active.
What is Proliance Puyallup Surgeons's primary classification?
Surgery Physician is the headline specialty for Proliance Puyallup Surgeons here. Clinical services aligned with this taxonomy classification.
Where should I expect Proliance Puyallup Surgeons on a map?
Expect Puyallup, Washington as a primary anchor for Proliance Puyallup Surgeons unless the record lists multiple sites.
Is the information about Proliance Puyallup Surgeons up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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