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Pacific Vascular Incorporated

Physiological Laboratory in Seattle, WA. Organization (NPI-2).

NPI number1154476216
StatusActive
Last updated in NPPESDec 2, 2025

Details

NPI
1154476216
Entity type
Organization (NPI-2)
Legal business name
Pacific Vascular Incorporated
Organization subpart
Yes
Enumeration date
Jan 25, 2007
Certification date
Dec 2, 2025
Last updated
Dec 2, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
293D00000X Physiological Laboratory––Yes

Other names

  • Pacific Vascular-Cherry Hill (Doing Business As)

Practice location

1600 E Jefferson St
Suite 201
Seattle, WA 98122-5698

Phone 206-323-1740 · Fax 425-486-8976

Mailing address

11714 N Creek Pkwy N Ste 100
Bothell, WA 98011-8250

Phone 425-486-8868 · Fax 425-486-8976

Authorized official

Bonnie M Brown
Ceo
4253987781

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