Provider Demographics
NPI:1609834258
Name:PALASKAS, CONSTANTINE W (MD)
Entity Type:Individual
Prefix:DR
First Name:CONSTANTINE
Middle Name:W
Last Name:PALASKAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1570 WEST ARMORY WAY
Mailing Address - Street 2:SUITE 101, PMB#105
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98119
Mailing Address - Country:US
Mailing Address - Phone:206-486-8088
Mailing Address - Fax:206-971-1656
Practice Address - Street 1:1221 MADISON ST STE 1410
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-3555
Practice Address - Country:US
Practice Address - Phone:206-486-8088
Practice Address - Fax:206-971-1656
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-03
Last Update Date:2021-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00022586207Y00000X, 207YX0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0901XAllopathic & Osteopathic PhysiciansOtolaryngologyOtology & Neurotology
No207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1064799Medicaid
WAPA0011OtherREGENCE
WA1064799Medicaid
WAPA0011OtherREGENCE