PROLIANCE SURGEONS INC. P.S. NPI 1457891426

NPI Information

  • NPI: 1457891426
  • Provider Name: PROLIANCE SURGEONS, INC., P.S.
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: PROLIANCE CENTER FOR OUTPATIENT SPINE AND JOINT SURGERY
  • Address: 6808 220TH ST SW STE 100
    MOUNTLAKE TERRACE, WA
    ZIP 98043
  • Phone: (425) 921-6500

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NPI Details

PROLIANCE SURGEONS, INC., P.S. is an ambulatory surgical clinic center in Mountlake Terrace, WA. PROLIANCE SURGEONS, INC., P.S. NPI is 1457891426. The provider is registered as an organization entity type.
The provider Is Doing Business As Proliance Center For Outpatient Spine And Joint Surgery.

The provider's business location address is:

6808 220TH ST SW STE 100
MOUNTLAKE TERRACE, WA
ZIP 98043-187
Phone: (425) 921-6500
Fax: (425) 921-6505

The provider's authorized official is Cori M. Pleasant .
The authorized official title is Del Cred & Enrollment Manager and has the following contact phone number (206) 838-2585.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Replacement of knee joint, both sides of knee (HCPCS:27447)
  • Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64635)
  • Replacement of thigh bone and hip joint with prosthesis (HCPCS:27130)
  • Insertion of spinal neurostimulator generator or receiver (HCPCS:63685)

The enumeration date for this NPI number is 2/24/2017 and was last updated on 12/6/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory Surgical601484763WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1389920OTHERWASHINGTONWA LABOR & INDUSTRIES
22099596MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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