PACIFIC VASCULAR SPECIALISTS PC
NPI 1164478780
Surgery - Vascular Surgery in Portland, OR

Active since May 25, 2006
9155 SW BARNES RD, STE 321, PORTLAND, OR 97225(707) 289-2968(503) 719-8253 Get Directions Write a Review

NPPES record last updated: May 4, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 4, 2021, Apr 20, 2021, Aug 8, 2018 (3 updates tracked since 2018).

About Pacific Vascular Specialists Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PACIFIC VASCULAR SPECIALISTS PC (NPI 1164478780) is a healthcare organization registered as a vascular surgery in Portland, Oregon and active in the NPI registry since May 2006. The organization lists John W Wiest, Owner, as its authorized official.

NPPES Registry Identity

NPI1164478780
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NamePACIFIC VASCULAR SPECIALISTS PC
Location Address9155 SW BARNES RD, STE 321Portland, OR 97225
Mailing AddressPo Box 3571Seattle, WA 98124-3571 · (707) 289-2968 · Fax (503) 719-8253
Fax(503) 719-8253
Organization SubpartNo
Authorized OfficialJohn W WiestOwner · (707) 289-2968
Enumeration DateMay 25, 2006
Last NPPES UpdateMay 4, 20213 updates tracked since enumeration
NPPES CertifiedMay 4, 2021
NPI 1164478780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License Licensed in OR · MD14474
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
9155 SW BARNES RD, Portland, OR 97225

Other Identifiers 2

Medicaid278874OR
OtherR109778OR · Ptan

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
9155 SW BARNES RD, STE 205
PORTLAND, OR 97225
Psychiatry & Neurology (Psychiatry)
9155 SW BARNES RD, STE 333
PORTLAND, OR 97225
Pediatrics (Pediatric Endocrinology)
9155 SW BARNES RD, SUITE 931
PORTLAND, OR 97225
Physical Medicine & Rehabilitation
9155 SW BARNES RD, #440
PORTLAND, OR 97225
Audiologist-Hearing Aid Fitter
9155 SW BARNES RD, STE 401
PORTLAND, OR 97225
Pharmacist
9155 SW BARNES RD
PORTLAND, OR 97225
Naturopath
9155 SW BARNES RD, SUITE 331
PORTLAND, OR 97225
Speech-Language Pathologist
9155 SW BARNES RD, CHILDREN'S DEVELOPMENT INSTITUTE, EAST PAVILION
PORTLAND, OR 97225

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pacific Vascular Specialists PC's NPI number?

The NPI number for Pacific Vascular Specialists PC is 1164478780. It was assigned to this organization in the NPPES registry on May 25, 2006.

Where is Pacific Vascular Specialists PC located?

Pacific Vascular Specialists PC is located at 9155 SW Barnes Rd Ste 321, Portland, OR 97225. The listed phone number is (707) 289-2968.

What is Pacific Vascular Specialists PC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

When was this NPI record last updated?

The NPPES record for Pacific Vascular Specialists PC was last updated on May 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.