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AUSINK FAMILY MEDICINE, PC

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Company Details

Legal Name: AUSINK FAMILY MEDICINE, PC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: September 14th 2022
Expiration date: 30 Sep 2025
UBI Number: 604 968 950
ZIP code: 98942
City: Selah
County: YAKIMA
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1105 MAYER CT, SELAH, WA, 98942-1739, UNITED STATES, SELAH, WA, 98942, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 105 W ORCHARD AVE STE 200, SELAH, WA, 98942-1329, UNITED STATES

Contact Details

E-Mail: PCSPRATT55@GMAIL.COM
Phone Number: +1 509-930-8183

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
TIM AUSINK Registered Agent 1105 MAYER CT, SELAH, WA, 98942-1739, UNITED STATES

Key Officers & Management

Name Role Address
TIM AUSINK Governing Person -
PETER SPRATT Incorporator 22130 SW DEWEY DR, SHERWOOD, OR, 97140-8399, UNITED STATES

National Provider Identifier

NPI Number:
1376268680
Certification Date:
2025-02-03

Authorized Person:

Name:
TIMOTHY R AUSINK
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261Q00000X - Clinic/Center
Is Primary:
No
Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
5096982558
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