PROLIANCE SURGEONS INC. P.S. NPI 1760421846

NPI Information

  • NPI: 1760421846
  • Provider Name: PROLIANCE SURGEONS, INC., P.S.
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: PROLIANCE EVERETT BONE AND JOINT SURGERY CENTER
  • CLIA Number: 50D1072079
  • Address: 1100 PACIFIC AVE STE 100
    EVERETT, WA
    ZIP 98201
  • Phone: (425) 317-8535

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NPI Details

PROLIANCE SURGEONS, INC., P.S. is an ambulatory surgical clinic center in Everett, WA. PROLIANCE SURGEONS, INC., P.S. NPI is 1760421846. The provider is registered as an organization entity type.
The provider Is Doing Business As Proliance Everett Bone And Joint Surgery Center.

The provider's business location address is:

1100 PACIFIC AVE STE 100
EVERETT, WA
ZIP 98201-261
Phone: (425) 317-8535
Fax: (425) 317-8628

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 CLIA number assigned to this NPI record is 50D1072079 - ambulatory surgery center with a certificate type of Certificate of Waiver.

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.

  • Destruction of peripheral nerve or branch (HCPCS:64640)
  • Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment (HCPCS:63047)
  • Release of wrist ligament using an endoscope (HCPCS:29848)
  • Release of tendon connecting biceps muscle and shoulder using an endoscope (HCPCS:29828)

The enumeration date for this NPI number is 6/5/2006 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
1137868OTHERWASHINGTONWA LABOR & INDUSTRIES
22093710MEDICAIDWASHINGTON

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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