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ELYSIUM ANESTHESIA, PLLC

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Company Details

Legal Name: ELYSIUM ANESTHESIA, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: December 18th 2018
Expiration date: 31 Dec 2025
UBI Number: 604 370 952
ZIP code: 98682
City: Vancouver
County: CLARK
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 17513 NE 35TH CIR, VANCOUVER, WA, 98682-5646, UNITED STATES

Contact Details

E-Mail: JESSEBROOME@HOTMAIL.COM
Phone Number: +1 828-773-1043

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
JESSE BROOME Registered Agent 17513 NE 35TH CIR, VANCOUVER, WA, 98682-5646, UNITED STATES

Key Officers & Management

Name Role Address
JESSE BROOME Executor 17513 NE 35TH CIR, VANCOUVER, WA, 98682-5646, UNITED STATES
JESSE BROOME Governing Person 17513 NE 35TH CIR, VANCOUVER, WA, 98682-5646, UNITED STATES

National Provider Identifier

NPI Number:
1659181030
Certification Date:
2025-01-08

Authorized Person:

Name:
JESSE BROOME
Role:
PRESIDENT
Phone:

Taxonomy:

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

Contacts:

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