# PROLIANCE SURGEONS, INC., P.S.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Proliance Rehabilitation, Sports and Spine Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417499575
- **Authorized official:** CORI M. PLEASANT (MGR PROVIDER RELATIONS/ENROLLMENT)
- **Authorized official phone:** (206) 838-2585

## Contact information

- **Practice address:** 3216 NORTON AVE STE 101, EVERETT, WA 98201-4290
- **Practice address phone:** (425) 252-4700
- **Practice address fax:** (425) 252-4788
- **Mailing address:** 7320 216TH ST SW STE 320, EDMONDS, WA 98026-8006
- **Mailing address phone:** (425) 673-3900
- **Mailing address fax:** (425) 252-4788

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 601484763 | WA | Yes |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 11/07/2016
- **Last updated:** 08/22/2022