Organization
PROLIANCE SURGEONS INC P S
Active
Other names
Proliance Orthopedic Associates
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
3600 LIND AVE SW STE 170, RENTON, WA 98057-4934
(425) 656-5060
(425) 656-5047
Mailing address
4011 TALBOT RD S STE 300, RENTON, WA 98055-5791
(425) 656-5060
(425) 656-5047
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
2080S0010X
Pediatric Sports Medicine Physician
—
—
2083X0100X
Occupational Medicine Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
363AS0400X
Surgical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
11/25/2025
Last updated
11/25/2025
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