Proliance ProOrtho Orthopedics Sports, Joints and Spine – Orthopaedic Surgery Physician, NPI 1669411617

Proliance ProOrtho Orthopedics Sports, Joints and Spine is a healthcare provider. based in Kirkland, Washington. specializing in Orthopaedic Surgery Physician. The organization holds a License No. 601484763 (WA). The NPI Number for Proliance ProOrtho Orthopedics Sports, Joints and Spine is 1669411617

Main info

Organization
Name
Proliance ProOrtho Orthopedics Sports, Joints and Spine
NPI
1669411617
Phone
(425) 823-4000
Address
12911 120th Ave NE Ste H120
Authorized Official
CORI M. PLEASANT DEL CRED AND ENROLLMENT MANAGER
Enumeration Date
5 June 2006
Last Update Date
1 May 2026
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness90
Years active:20State licenses:1Digital endpoints

Provider Addresses for Proliance ProOrtho Orthopedics Sports, Joints and Spine

  • 12911 120th Ave NE Ste H120

    Kirkland, WA 980343062

    Phone: (425) 823-4000

    Fax: (425) 821-3550

    Type: Location

  • 901 Boren Ave Ste 711

    Seattle, WA 981043301

    Phone: (425) 823-4000

    Fax: (206) 323-6868

    Type: Location

  • 120th Avenue Northeast, Kirkland, King County, Washington, 98033, United States

    KIRKLAND, WA 980343048

    Phone: (206) 823-4000

    Fax: (206) 821-3550

    Type: Mailing

  • 12911 120TH AVE NE STE H210

    KIRKLAND, WA 980343065

    Phone: (425) 823-4000

    Fax: (425) 821-3550

    Type: Location

  • 12911, 120th Avenue Northeast, Kirkland, King County, Washington, 98034, United States

    SUITE H-210

    KIRKLAND, WA 980343027

    Phone: (425) 823-4000

    Fax: (425) 821-3550

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98034)

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Frequently asked questions

What is the 10-digit NPI for Proliance ProOrtho Orthopedics Sports, Joints and Spine?
Proliance ProOrtho Orthopedics Sports, Joints and Spine — NPI 1669411617 — is the standard way to identify this listing.
Can I rely on Proliance ProOrtho Orthopedics Sports, Joints and Spine being an active provider?
As of the registry snapshot, Proliance ProOrtho Orthopedics Sports, Joints and Spine is marked active.
What healthcare role does Proliance ProOrtho Orthopedics Sports, Joints and Spine hold?
Scheduling teams often label Proliance ProOrtho Orthopedics Sports, Joints and Spine under Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
What area does Proliance ProOrtho Orthopedics Sports, Joints and Spine serve?
Proliance ProOrtho Orthopedics Sports, Joints and Spine's listing highlights Kirkland, Washington; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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