Organization
PACIFIC VASCULAR INCORPORATED
Active
Parent organization
PACIFIC VASCULAR INCORPORATED
Other names
Pacific Vascular-Port Ludlow
Organization subpart
Yes
Provider details
NPI number
Legal business name
PACIFIC VASCULAR INCORPORATED
Authorized official
BONNIE M BROWN RVT (CEO)
(425) 398-7781
Entity
Organization
Contact information
Practice address
117 VILLAGE WAY, PORT LUDLOW, WA 98365-8792
(425) 486-8868
(425) 486-8976
Mailing address
11714 N CREEK PKWY N STE 100, BOTHELL, WA 98011-8099
(425) 486-8868
(425) 486-8976
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7015852
—
WA
Enumeration date
11/06/2025
Last updated
12/02/2025
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