Proliance Surgeons Puget Sound ENT – Otolaryngology Physician, NPI 1770764342

Proliance Surgeons Puget Sound ENT is a healthcare provider. based in Edmonds, Washington. specializing in Otolaryngology Physician. The organization holds a License No. 601484763 (WA). The NPI Number for Proliance Surgeons Puget Sound ENT is 1770764342

Main info

Organization
Name
Proliance Surgeons Puget Sound ENT
NPI
1770764342
Phone
(425) 775-6651
Address
21911 76TH AVE W STE 211
Authorized Official
CORI M. PLEASANT MGR PROVIDER RELATIONS/ENROLLMENT
Enumeration Date
23 November 2007
Last Update Date
1 November 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness80
Years active:18State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for Proliance Surgeons Puget Sound ENT

  • 21911 76TH AVE W STE 211

    EDMONDS, WA 980267918

    Phone: (425) 775-6651

    Type: Mailing

  • Metropolitan Deli & Cafe, 805, Madison Street, Central Business District, First Hill, Seattle, King County, Washington, 98104, United States

    SUITE 901

    SEATTLE, WA 981041172

    Phone: (206) 264-8100

    Fax: (206) 264-8689

    Type: Mailing

  • 515 Minor Ave Ste 140

    Seattle, WA 981042138

    Phone: (425) 775-6651

    Fax: (425) 670-6718

    Type: Location

  • 13020 Meridian Ave S Fl 2

    Everett, WA 982086468

    Phone: (425) 775-6651

    Fax: (425) 670-6718

    Type: Location

  • 104 27th Ave SE

    Puyallup, WA 983741145

    Phone: (425) 775-6651

    Fax: (425) 670-6718

    Type: Location

  • 515 Minor Ave Ste 150

    Seattle, WA 981042144

    Phone: (425) 775-6651

    Fax: (425) 670-6718

    Type: Location

  • 76th Avenue West, Edmonds, Snohomish County, Washington, 98043, United States

    EDMONDS, WA 980267918

    Phone: (425) 775-6651

    Fax: (425) 670-6718

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

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

Insurance plans in this area (ZIP 98026)

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Reviews

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Frequently asked questions

Is there an official ID for Proliance Surgeons Puget Sound ENT in U.S. healthcare records?
The official identifier for Proliance Surgeons Puget Sound ENT is NPI 1770764342.
Would Proliance Surgeons Puget Sound ENT appear as active to a payer?
You can treat Proliance Surgeons Puget Sound ENT as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to Proliance Surgeons Puget Sound ENT?
Proliance Surgeons Puget Sound ENT's specialty line reads Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
Where in Washington is Proliance Surgeons Puget Sound ENT registered?
Use Edmonds, Washington as the headline location for Proliance Surgeons Puget Sound ENT here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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