Organization · NPI-2
Pacific Vascular Incorporated
Physiological Laboratory · Yakima, WA
NPI number1831245836
StatusActive
Last updated in NPPESDec 2, 2025
Details
- NPI
- 1831245836
- 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 code | Description | License | State | Primary |
|---|---|---|---|---|
| 293D00000X | Physiological Laboratory | – | – | Yes |
Other names
- Pacific Vascular-Yakima Creekside (Other Name)
Practice location
3902 Creekside LoopSuite 105
Yakima, WA 98902-4876
Phone 509-249-5735 · Fax 425-486-8976
Mailing address
11714 N Creek Pkwy N Ste 100Bothell, WA 98011-8250
Phone 425-486-8868 · Fax 425-486-8976
Authorized official
Bonnie M Brown
Ceo
4253987781
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