<Unavail>

LBN: Pacific Vascular Incorporated
<Unavail> is an health care organization with primary practice located at 112 Del Guzzi Dr Ste 2 , Port Angeles WA 98362-4976. The organization recently has only one registered license in Laboratories / Physiological Laboratory, which is considered as the primary health care specialty. Pacific Vascular Incorporated can be contacted via phone (360) 504-3842, or through Brown, Bonnie M via phone (425) 398-7781.

Contact Information

Primary practice address
112 Del Guzzi Dr Ste 2 Port Angeles WA 98362-4976
Phone: (360) 504-3842
Fax: (425) 486-8976
Website:
Map and Directions
Authorized official contact:
Name: Brown, Bonnie M Registered Vascular Technologist (RVT)
Phone: (425) 398-7781

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Physiological Laboratory 293D00000X

Profile Details

NPI number 1639776842
LBN Legal business name Pacific Vascular Incorporated
DBA Doing business as <Unavail>
Authorized official Brown, Bonnie M Registered Vascular Technologist (RVT)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 1st, 2020
Last updated Dec 2nd, 2025 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639776842 NPPES
Washington MEDICAID 7015852

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