Organization
PROLIANCE SURGEONS INC P S
Active
Other names
PROLIANCE ORTHOPAEDICS AND SPORTS MEDICINE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH G. OVERBEY (COO)
(206) 838-2583
Entity
Organization
Contact information
Practice address
510 8TH AVE NE STE 200, ISSAQUAH, WA 98029-5436
(425) 392-3030
(425) 392-2564
Mailing address
510 8TH AVE NE STE 320, ISSAQUAH, WA 98029-5436
(425) 507-0733
(425) 283-5551
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
601484763
WA
208100000X
Physical Medicine & Rehabilitation Physician
601484763
WA
363AS0400X
Surgical Physician Assistant
601484763
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
122274
LABOR & INDUSTRIES
WA
05
—
2016746
—
WA
Enumeration date
09/05/2018
Last updated
10/30/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us