Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pacific Vascular Specialists PC

Organization Vascular Surgery Physician · NPI 1164478780

Pacific Vascular Specialists PC is a Vascular Surgery Physician in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2006.

Licensed in
OR
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9155 SW Barnes Rd Ste 321
Portland, OR 97225
Phone: (707) 289-2968
Fax: (503) 719-8253
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence MD14474 (OR)

Record details

NPI number1164478780
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Wiest — Owner · (707) 289-2968
NPI enumeratedMay 25, 2006
Last updated in NPPESMay 4, 2021
Certification dateMay 4, 2021
Mailing addressPo Box 3571, Seattle, WA 98124-3571

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