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FISHER FAMILY MEDICINE, P.S.

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Company Details

Legal Name: FISHER FAMILY MEDICINE, P.S.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: February 9th 2022
Expiration date: 28 Feb 2026
UBI Number: 604 865 784
ZIP code: 98584
City: Shelton
County: MASON
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1290 SE PHILLIPS RD, SHELTON, WA, 98584-7614, UNITED STATES

Contact Details

E-Mail: VCFFISHER3@GMAIL.COM
Phone Number: +1 907-382-9002

Nature of Business

Any Lawful Purpose, Professional, Scientific & Technical Services

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Registered Agent Information

Name Role Address
VANESSA FARINAS FISHER Registered Agent 1290 SE PHILLIPS RD, SHELTON, WA, 98584-7614, UNITED STATES

Key Officers & Management

Name Role Address
VANESSA FISHER Governing Person -
CHRISTOPHER T L BROWN INCORPORATOR 2401 BRISTOL CT SW STE C102, OLYMPIA, WA, 98502-6037, UNITED STATES

National Provider Identifier

NPI Number:
1679229223
Certification Date:
2022-02-22

Authorized Person:

Name:
MS. VANESSA FARINAS FISHER
Role:
FAMILY NURSE PRACTITIONER
Phone:

Taxonomy:

Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
No
Selected Taxonomy:
261Q00000X - Clinic/Center
Is Primary:
Yes

Contacts:

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