Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charles V Edmond Jr., MD

Individual provider Otolaryngology Physician · NPI 1851327324

Charles V Edmond Jr., MD is an Otolaryngology in Puyallup, Washington. Qualified in 1985, 41 years ago. Practices with Proliance Surgeons Inc P S, a 394-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
41
Licensed in
WA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

104 27th Ave SE
Puyallup, WA 98374-1145
Phone: (253) 770-9000
Fax: (253) 770-9712
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence MD30364 (WA)
Facial Plastic Surgery Physician Taxonomy 207YS0123X · Licence MD00030364 (WA)

Record details

NPI number1851327324
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 24, 2006
Last updated in NPPESOctober 20, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOTOLARYNGOLOGY
Also practisesALLERGY/IMMUNOLOGY, PLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolOTHER
Graduated 1985 (41 years in practice)
Group practice Proliance Surgeons Inc P S — 394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Puyallup