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Organization

PROLIANCE SURGEONS INC P S

Active
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Organization

PROLIANCE SURGEONS INC P S

Active
Other names
Proliance Orthopedic Associates, Proliance Orthopedic Associates MRI
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CORI PLEASANT (CHIEF RISK OFFICER)
(206) 838-2590
Entity
Organization

Contact information

Practice address
27005 168TH PL SE STE 201, COVINGTON, WA 98042-4902
(253) 630-3660
(253) 631-1591
Mailing address
4011 TALBOT RD S STE 300, RENTON, WA 98055-5791
(425) 656-5060

Taxonomy

Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
207X00000X
Orthopaedic Surgery Physician
601484763
WA
207X00000X
Orthopaedic Surgery Physician
Primary
2083X0100X
Occupational Medicine Physician
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
261QM1300X
Multi-Specialty Clinic/Center
363AS0400X
Surgical Physician Assistant
363LF0000X
Family Nurse Practitioner
363LG0600X
Gerontology Nurse Practitioner

Other

Enumeration date
12/19/2006
Last updated
10/29/2025
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