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CONTINUUM PALLIATIVE OF WA, A NONPROFIT P.C.

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Company Details

Legal Name: CONTINUUM PALLIATIVE OF WA, A NONPROFIT P.C.
Jurisdiction: WASHINGTON
Entity Type: WA NONPROFIT PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: February 25th 2021
Expiration date: 28 Feb 2026
UBI Number: 604 718 214
FEIN Number: 86-2284842
ZIP code: 98036
City: Lynnwood
County: SNOHOMISH
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 19009 33RD AVE W, SUITE 305, LYNNWOOD, WA, 98036-4740, UNITED STATES

Contact Details

E-Mail: AJOUDAI@AFFINITYHEALTHMANAGEMENT.COM
Phone Number: +1 646-585-2175

Nature of Business

PALLIATIVE CARE

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Registered Agent Information

Name Role Address
PATRICK SHEPARD Registered Agent 19009 33RD AVE W, SUITE 305, LYNNWOOD, WA, 98036-4740, UNITED STATES

Key Officers & Management

Name Role Address
DON NGUYEN Governing Person -
DON NGUYEN, M.D. Initial Board Of Director 1000 SE EVERETT MALL WAY STE 402, EVERETT, WA, 98208-2814, UNITED STATES
DON NGUYEN, M.D. INCORPORATOR 1000 SE EVERETT MALL WAY STE 402, EVERETT, WA, 98208-2814, UNITED STATES

National Provider Identifier

NPI Number:
1245825868
Certification Date:
2021-03-05

Authorized Person:

Name:
MR. SAMUEL STERN
Role:
DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
207QH0002X - Hospice and Palliative Medicine (Family Medicine) Physician
Is Primary:
Yes

Contacts:

Fax:
4256456033
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