Pacific Vascular Specialists Pc

LBN: Pacific Vascular Specialists Pc
Pacific Vascular Specialists Pc is an health care organization with primary practice located at 9155 Sw Barnes Rd Ste 321, Portland OR 97225. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as the primary health care specialty. Pacific Vascular Specialists Pc can be contacted via phone (707) 289-2968, or through Wiest, John W via phone (707) 289-2968.

Contact Information

Primary practice address
9155 Sw Barnes Rd Ste 321 Portland OR 97225
Phone: (707) 289-2968
Fax: (503) 719-8253
Website:
Map and Directions
Authorized official contact:
Name: Wiest, John W Doctor of Medicine (MD)
Phone: (707) 289-2968

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X MD14474 Oregon

Profile Details

NPI number 1164478780
LBN Legal business name Pacific Vascular Specialists Pc
DBA Doing business as
Authorized official Wiest, John W Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 25th, 2006
Last updated May 4th, 2021 - about 5 years ago

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 1164478780 NPPES
Oregon MEDICAID 278874
Oregon Other R109778

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