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Organization

PROLIANCE SURGEONS INC P S

Active
Other names
Proliance Center for Outpatient Spine and Joint Surgery, Proliance Ctr for Outpt Spine & Joint Replac Surg of Puget Sound (FKA)
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
6808 220TH ST SW STE 100, MOUNTLAKE TERRACE, WA 98043-2187
(425) 921-6500
(425) 921-6505
Mailing address
6808 220TH ST SW STE 100, MOUNTLAKE TERRACE, WA 98043-2187
(425) 921-6500
(425) 921-6505

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
601484763
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2099596
WA
01
389920
WA LABOR & INDUSTRIES
WA
Enumeration date
02/24/2017
Last updated
01/05/2026
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