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FAMILY MEDICINE OF PORT ANGELES P.L.L.C.

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Company Details

Legal Name: FAMILY MEDICINE OF PORT ANGELES P.L.L.C.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: January 2nd 1998
Date of Dissolution: June 1st 2017
Expiration date: 31 Jan 2017
UBI Number: 601 842 789

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Registered Agent Information

Name Role Address
MICHAEL S MAXWELL MD Registered Agent 240 W FRONT ST STE A, PORT ANGELES, WA, 98362-2609, UNITED STATES

Key Officers & Management

Name Role Address
ROBERT EPSTEIN Governing Person 240 W FRONT ST STE A, PORT ANGELES, WA, 98362, UNITED STATES
RENIERA SIVESIND Governing Person 240 W FRONT ST, PORT ANGELES, WA, 98362, UNITED STATES
KATRINA WELLER Governing Person 240 W FRONT ST STE A, PORT ANGELES, WA, 98362, UNITED STATES
CHRISTOPHER FRANK Governing Person 240 W FRONT ST STE A, PORT ANGELES, WA, 98362, UNITED STATES
MICHAEL MAXWELL Governing Person 240 W FRONT ST STE A, PORT ANGELES, WA, 98362, UNITED STATES

National Provider Identifier

NPI Number:
1356536817

Authorized Person:

Name:
CARLENE RINGIUS
Role:
ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
3604528087
Fax:
3607827891
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