Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Proliance Surgeons Inc P S

Organization Orthopaedic Surgery Physician · NPI 1124500293

Proliance Surgeons Inc P S is an Orthopaedic Surgery Physician in Issaquah, Washington. Licensed in Washington. Registered with an NPI since 2018.

Licensed in
WA
In the registry since
2018
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

510 8th Ave NE Ste 200
Issaquah, WA 98029-5436
Phone: (425) 392-3030
Fax: (425) 392-2564
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 601484763 (WA)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence 601484763 (WA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 601484763 (WA)

Record details

NPI number1124500293
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenneth Overbey — Coo · (206) 838-2583
Other names Proliance Orthopaedics And Sports Medicine; Proliance Orthopaedics And Sports Medicine
NPI enumeratedSeptember 5, 2018
Last updated in NPPESOctober 30, 2025
Certification dateOctober 30, 2025
Mailing address510 8th Ave Ne Ste 320, Issaquah, WA 98029-5436

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