NPI 1558417675

Pacific Vascular Incorporated

Organisation Physiological Laboratory Edmonds, WA

Practice location

Address: 21616 76th Ave W Suite 203, Edmonds, WA 98026-7512
Phone: (425) 697-2706
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
Phone: (425) 398-7781

Registered specialties

Physiological Laboratory Primary

Laboratories Taxonomy 293D00000X

Other Physiological Laboratory providers in Washington →

Registry record

NPI: 1558417675
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.