Organization
PROLIANCE SURGEONS INC P S
Active
Other names
Proliance Highlands Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
CORI M. PLEASANT (DEL CRED & ENROLLMENT MANAGER)
(206) 838-2585
Entity
Organization
Contact information
Practice address
510 8TH AVE NE, SUITE 100, ISSAQUAH, WA 98029-5436
(425) 507-0800
(425) 507-0805
Mailing address
510 8TH AVE NE STE 100, ISSAQUAH, WA 98029-5436
(425) 507-0800
(425) 507-0805
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2000432
—
WA
01
—
246464
WA LABOR & INDUSTRIES
WA
01
—
612815303
OWCP
WA
Enumeration date
11/21/2008
Last updated
11/24/2025
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