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Contact Information

DOUGLAS D BACKOUS, MD
104 27TH AVE SE
PUYALLUP, WA98374-1145
 Phone: 253-770-9000
 Fax: 253-770-9712
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
 

Otology & Neurotology

207YX0901X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for DOUGLAS D BACKOUS · (Male)

NPI Number 1669589974
Status Active
Credentials MD
Entity Individual
Enumeration date 08/23/2006
Last updated 05/31/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • WA License # MD00034718
  • WA Medicaid 1045189
  • Other 376478 WA L&I
Hospital affiliation(s)
  • OLYMPIC MEDICAL CENTER - (Acute Care)
    939 CAROLINE ST
    PORT ANGELES, WA 98362
  • SWEDISH EDMONDS HOSPITAL - (Acute Care)
    21601 76TH AVENUE WEST
    EDMONDS, WA 98026
  • SWEDISH MEDICAL CENTER/CHERRY HILL - (Acute Care)
    500 17TH AVENUE
    SEATTLE, WA 98122
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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