Pacific Vascular Incorporated
Physiological Laboratory in Sequim, WA. Organization (NPI-2).
NPI number1891017992
StatusActive
Last updated in NPPESDec 2, 2025
Details
- NPI
- 1891017992
- Entity type
- Organization (NPI-2)
- Legal business name
- Pacific Vascular Incorporated
- Organization subpart
- Yes
- Enumeration date
- Feb 17, 2010
- 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-Sequim (Doing Business As)
Practice location
536 N 5th AveSuite B
Sequim, WA 98382-3079
Phone 360-582-0000 · 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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