Organization · Type 2 NPI

Proliance Surgeons, Inc., P.s.

Otolaryngology Physician · Issaquah, WA

NPI number 1013186121 Active

Practice location

510 8th Ave NE Ste 310
Issaquah, WA 98029-5436

Call (425) 454-3938 Map

Fax (425) 392-3561

Other practice locations

510 8th Ave NE Ste 300, Issaquah, WA 98029-5436 · (425) 278-1810

Specialties and licenses

Taxonomy	Code	License
Otolaryngology Physician	207Y00000X	601484763 (WA)
Otolaryngology Physician Primary	207Y00000X	None listed
Facial Plastic Surgery Physician	207YS0123X	None listed
Audiologist	231H00000X	None listed
Multi-Specialty Clinic/Center	261QM1300X	None listed

Otolaryngology Physician: 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 injurie…

6 other providers at this address

NPI record

NPI: 1013186121
Entity type: Organization (Type 2)
Issued: Feb 22, 2008
Last updated: Aug 22, 2022
Status: Active

Other names

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Proliance Surgeons Bellevue Ent and Lake Wa Facial Plastic Surgery · doing business as
Proliance Surgeons Bellevue Ear Nose and Throat and Sound Hearing · doing business as

Authorized official

Cori M. Pleasant
MGR Provider Relations/enrollment
(206) 838-2585

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1013186121

Proliance Surgeons, Inc., P.s.'s National Provider Identifier is 1013186121, issued on Feb 22, 2008. The primary taxonomy on file is Otolaryngology Physician (207Y00000X), and the practice location is in Issaquah, WA. The record was last updated on Aug 22, 2022.