Provider Demographics
NPI:1790248557
Name:PRO MED ALLIANCE MEDICAL STAFFING
Entity Type:Organization
Organization Name:PRO MED ALLIANCE MEDICAL STAFFING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN/OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CINCERIA
Authorized Official - Middle Name:
Authorized Official - Last Name:DOWLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-465-7928
Mailing Address - Street 1:23830 PACIFIC HWY S STE 201
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98032-7703
Mailing Address - Country:US
Mailing Address - Phone:503-465-7928
Mailing Address - Fax:206-429-2669
Practice Address - Street 1:23830 PACIFIC HWY S STE 201
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98032-7703
Practice Address - Country:US
Practice Address - Phone:503-465-7928
Practice Address - Fax:206-429-2669
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-09
Last Update Date:2019-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health