NPI 1336019314
Pacific Vascular Incorporated
Practice location
- Address
- 117 Village Way, Port Ludlow, WA 98365-8792
- Phone
- (425) 486-8868
- Fax
- (425) 486-8976
- Mailing address
- 11714 N Creek Pkwy N STE 100, Bothell, WA 98011-8099
Authorised official
- Name
- Bonnie M Brown
- Title
- Ceo
- Phone
- (425) 398-7781
Registered specialties
Physiological Laboratory
Primary
Registry record
- NPI
- 1336019314
- Entity type
- Organization
- NPI issued
- 6 Nov 2025
- 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.