# PROLIANCE SURGEONS INC P S

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Proliance Center for Outpatient Spine and Joint Surgery, Proliance Ctr for Outpt Spine & Joint Replac Surg of Puget Sound (FKA)
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457891426
- **Authorized official:** CORI M. PLEASANT (DEL CRED & ENROLLMENT MANAGER)
- **Authorized official phone:** (206) 838-2585

## Contact information

- **Practice address:** 6808 220TH ST SW STE 100, MOUNTLAKE TERRACE, WA 98043-2187
- **Practice address phone:** (425) 921-6500
- **Practice address fax:** (425) 921-6505
- **Mailing address:** 6808 220TH ST SW STE 100, MOUNTLAKE TERRACE, WA 98043-2187
- **Mailing address phone:** (425) 921-6500
- **Mailing address fax:** (425) 921-6505

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 601484763 | WA | Yes |

## Other

- **Enumeration date:** 02/24/2017
- **Last updated:** 01/05/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2099596 | — | WA |
| 01 | — | 389920 | WA LABOR & INDUSTRIES | WA |