# PROLIANCE SURGEONS INC P S

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Proliance Highlands Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093960700
- **Authorized official:** CORI M. PLEASANT (DEL CRED & ENROLLMENT MANAGER)
- **Authorized official phone:** (206) 838-2585

## Contact information

- **Practice address:** 510 8TH AVE NE, SUITE 100, ISSAQUAH, WA 98029-5436
- **Practice address phone:** (425) 507-0800
- **Practice address fax:** (425) 507-0805
- **Mailing address:** 510 8TH AVE NE STE 100, ISSAQUAH, WA 98029-5436
- **Mailing address phone:** (425) 507-0800
- **Mailing address fax:** (425) 507-0805

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/21/2008
- **Last updated:** 11/24/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2000432 | — | WA |
| 01 | — | 246464 | WA LABOR & INDUSTRIES | WA |
| 01 | — | 612815303 | OWCP | WA |