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Organization

PACIFIC VASCULAR INCORPORATED

Active
Parent organization
PACIFIC VASCULAR INCORPORATED
Other names
Pacific Vascular-Mobile 1 Ultrasound Services
Organization subpart
Yes

Provider details

NPI number
Legal business name
PACIFIC VASCULAR INCORPORATED
Authorized official
BONNIE BROWN RVT (CEO)
(425) 398-7769
Entity
Organization

Contact information

Practice address
11714 N CREEK PKWY N STE 100, BOTHELL, WA 98011-8250
(425) 486-8868
(425) 486-8976
Mailing address
11714 N CREEK PKWY N STE 100, BOTHELL, WA 98011-8250
(425) 486-8868
(425) 486-8976

Taxonomy

Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7015852
WA
Enumeration date
08/16/2013
Last updated
12/02/2025
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