Organization
PROLIANCE SURGEONS INC P S
Active
Other names
PROLIANCE ORTHOPAEDICS AND SPORTS MEDICINE
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CORI PLEASANT (DEL CRED & ENROLLMENT MANAGER)
(206) 838-2585
Entity
Organization
Contact information
Practice address
18100 NE UNION HILL RD STE 330, REDMOND, WA 98052-3330
(425) 392-3030
(425) 497-9084
Mailing address
510 8TH AVE NE STE 320, ISSAQUAH, WA 98029-5436
(206) 507-0733
(206) 283-5551
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
601484763
WA
208100000X
Physical Medicine & Rehabilitation Physician
601484763
WA
261QM1300X
Multi-Specialty Clinic/Center
Primary
601484763
WA
363AS0400X
Surgical Physician Assistant
601484763
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
122274
LABOR AND INDUSTRIES
WA
05
—
2016746
—
WA
Enumeration date
09/05/2018
Last updated
10/30/2025
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