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Pacific Vascular Incorporated

Physiological Laboratory in Port Angeles, WA · enumerated 2020 · authorized official Bonnie Brown, Ceo/Technical Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1639776842

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Registry record

Entity type Organization (Type 2)
Legal business name Pacific Vascular Incorporated
Other name <Unavail>
Practice address 112 Del Guzzi Dr Ste 2, Port Angeles, WA, 98362
Fax (425) 486-8976
Enumeration date Oct 1, 2020
Last updated in NPPES Dec 2, 2025

Taxonomy & classification

293D00000X Physiological Laboratory Laboratories Primary

Authorized official

Name Bonnie Brown
Title Ceo/Technical Director

Other identifiers

Identifier Type State Issuer
7015852 Medicaid WA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Pacific Vascular Incorporated located?
The practice location on file with NPPES is in Port Angeles, WA.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-12-02. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-12-02.