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PROLIANCE SURGEONS INC. P.S. NPI 1770764342


NPI Information

NPI: 1770764342
Provider Name: PROLIANCE SURGEONS, INC., P.S.

Doing Business As: PROLIANCE SURGEONS PUGET SOUND ENT

Classification: Otolaryngology - 207Y00000X
Entity Type: Organization
Address:
21911 76TH AVE W STE 211
EDMONDS, WA
ZIP 98026
Phone: (425) 775-6651
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PROLIANCE SURGEONS, INC., P.S. is an otolaryngology in Edmonds, WA. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. PROLIANCE SURGEONS, INC., P.S. NPI is 1770764342. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Proliance Surgeons Puget Sound Ent.

The provider's business location address is:

21911 76TH AVE W STE 211
EDMONDS, WA
ZIP 98026-918
Phone: (425) 775-6651
Fax: (425) 670-6718

The provider's authorized official is Cori M. Pleasant .
The authorized official title is Mgr Provider Relations/enrollment and has the following contact phone number (206) 838-2585.

The enumeration date for this NPI number is 11/23/2007 and was last updated on 11/1/2022.


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
1207YX0901XOtolaryngologyOtology & NeurotologyNo
2231H00000XAudiologist601484763WASHINGTONNo
3261QM1300XClinic/CenterMulti-SpecialtyNo
4207Y00000XOtolaryngology601484763WASHINGTONYes

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
1227718OTHERWASHINGTONLABOR & INDUSTRIES
21060556MEDICAIDWASHINGTON

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: 5/5/2024

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