NPI 1639776842

Pacific Vascular Incorporated

Organisation Physiological Laboratory Port Angeles, WA

Practice location

Address: 112 del Guzzi Dr STE 2, Port Angeles, WA 98362-4976
Phone: (360) 504-3842
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/Technical Director
Phone: (425) 398-7781

Registered specialties

Physiological Laboratory Primary

Laboratories Taxonomy 293D00000X

Other Physiological Laboratory providers in Washington →

Registry record

NPI: 1639776842
Entity type: Organization
NPI issued: 1 Oct 2020
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.