Organization
PROLIANCE SURGEONS INC., P.S.
Active
Other names
Proliance Hand, Wrist and Elbow Physicians
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
12911 120TH AVE NE STE H220, KIRKLAND, WA 98034-3064
(425) 823-4224
(425) 820-8975
Mailing address
12911 120TH AVE NE STE G10, KIRKLAND, WA 98034-3048
(425) 823-4224
(425) 820-8975
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
601484763
WA
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
601484763
WA
2086S0105X
Surgery of the Hand (Surgery) Physician
601484763
WA
2251H1200X
Hand Physical Therapist
601484763
WA
225XH1200X
Hand Occupational Therapist
601484763
WA
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0161258
LNI
WA
05
—
1042990
—
WA
Enumeration date
06/21/2006
Last updated
05/01/2026
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