OrganizationActive
Pacific Vascular Specialists PC
NPI 1164478780 · Vascular Surgery Physician · Portland, OR
Provider details
- NPI number
- 1164478780
- Entity type
- Organization
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- John Wiest, Owner(707) 289-2968
- License
- MD14474 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9155 Sw Barnes Rd
Ste 321
Portland, OR 97225
Phone: (707) 289-2968
Fax: (503) 719-8253
Street-level locationGet directions
Mailing address
Po Box 3571
Seattle, WA 98124-3571
Registry dates
- Enumerated
- 2006-05-25
- Last updated
- 2021-05-04
- Certified
- 2021-05-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.