Organization
PROLIANCE SURGEONS, INC., P.S.
Active
Other names
Proliance ProOrtho Orthopedics Sports, Joints and Spine
Organization subpart
No
Provider details
NPI number
Authorized official
CORI M. PLEASANT (DEL CRED AND ENROLLMENT MANAGER)
(206) 838-2585
Entity
Organization
Contact information
Practice address
12911 120TH AVE NE STE H210, KIRKLAND, WA 98034-3065
(425) 823-4000
(425) 821-3550
Mailing address
12911 120TH AVE NE STE G10, KIRKLAND, WA 98034-3048
(206) 823-4000
(206) 821-3550
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
601484763
WA
261Q00000X
Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1015791
—
WA
01
—
151292
WA LABOR & INDUSTRIES
WA
Enumeration date
06/05/2006
Last updated
05/01/2026
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