# PROLIANCE SURGEONS, INC., P.S.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Proliance Everett Bone and Joint Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760421846
- **Authorized official:** CORI M. PLEASANT (DEL CRED & ENROLLMENT MANAGER)
- **Authorized official phone:** (206) 838-2585

## Contact information

- **Practice address:** 1100 PACIFIC AVE STE 100, EVERETT, WA 98201-4261
- **Practice address phone:** (425) 317-8535
- **Practice address fax:** (425) 317-8628
- **Mailing address:** 1100 PACIFIC AVE STE 300, EVERETT, WA 98201-4261
- **Mailing address phone:** (425) 339-2433

## Taxonomy

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

## Other

- **Enumeration date:** 06/05/2006
- **Last updated:** 12/06/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 137868 | WA LABOR & INDUSTRIES | WA |
| 05 | — | 2093710 | — | WA |