NPI 1043365257
Pacific Vascular Incorporated
Practice location
- Address
- 1 E Main St Suite 120, Auburn, WA 98002-4905
- Phone
- (253) 887-8673
- Fax
- (425) 486-8976
- Mailing address
- 11714 N Creek Pkwy N STE 100, Bothell, WA 98011-8250
Authorised official
- Name
- Bonnie M Brown
- Title
- Ceo/Technical Director
- Phone
- (425) 398-7781
Registered specialties
Physiological Laboratory
Primary
Registry record
- NPI
- 1043365257
- Entity type
- Organization
- NPI issued
- 25 Jan 2007
- Record last updated
- 2 Dec 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.