Organization
PACIFIC VASCULAR INCORPORATED
Active
Parent organization
PACIFIC VASCULAR INCORPORATED
Other names
Pacific Vascular-Federal Way
Organization subpart
Yes
Provider details
NPI number
Legal business name
PACIFIC VASCULAR INCORPORATED
Authorized official
PAUL E OLMSTED (CFO)
(425) 398-7769
Entity
Organization
Contact information
Practice address
32014 32ND AVE S, SUITE B, FEDERAL WAY, WA 98001-9625
(253) 661-2433
(425) 486-8976
Mailing address
11714 N CREEK PKWY N, SUITE 100, BOTHELL, WA 98011-8250
(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
01
—
P00217284
RAILROAD MEDICARE
WA
Enumeration date
01/25/2007
Last updated
12/10/2019
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