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CASCADIA INTERVENTIONAL ANESTHESIA, LLC

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Company Details

Legal Name: CASCADIA INTERVENTIONAL ANESTHESIA, LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: March 26th 2024
Expiration date: 31 Mar 2026
UBI Number: 605 476 685
ZIP code: 98632
City: Longview
County: COWLITZ
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 625 9TH AVE STE 150, LONGVIEW, WA, 98632-2467, UNITED STATES

Contact Details

E-Mail: ANESTHESIA@PSCLONGVIEW.COM
Phone Number: +1 360-501-3449

Nature of Business

HEALTHCARE-ANESTHESIA SERVICES

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Registered Agent Information

Name Role Address
JESSE BROOME Registered Agent 625 9TH AVE STE 150, LONGVIEW, WA, 98632-2467, UNITED STATES

Key Officers & Management

Name Role Address
JESSE BROOME Executor 17513 NE 35TH CIR, VANCOUVER, WA, 98682-5646, UNITED STATES
SHANE MERRILL Executor 625 9TH AVE STE 150, LONGVIEW, WA, 98632-2467, UNITED STATES
JESSE BROOME Governing Person -
SHANE MERRILL Governing Person -

National Provider Identifier

NPI Number:
1316791957
Certification Date:
2024-06-25

Authorized Person:

Name:
SHANE MERRILL
Role:
MEMBER
Phone:

Taxonomy:

Selected Taxonomy:
367500000X - Certified Registered Nurse Anesthetist
Is Primary:
Yes

Contacts:

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