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HEALTHY LIFE PHYSICIANS GROUP PACIFIC NORTHWEST, P.C.

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Company Details

Legal Name: HEALTHY LIFE PHYSICIANS GROUP PACIFIC NORTHWEST, P.C.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: February 10th 2022
Expiration date: 28 Feb 2026
UBI Number: 604 871 133
Home State: MASSACHUSETTS
Principal Office Street Address: Google Maps Logo 109 STATE STREET, 5TH FLOOR, BOSTON, MA, 02109, UNITED STATES

Contact Details

E-Mail: CLS-CTARMSEVIDENCE@WOLTERSKLUWER.COM

Nature of Business

MEDICAL PRACTICE

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Registered Agent Information

Name Role
C T CORPORATION SYSTEM Registered Agent

Key Officers & Management

Name Role Address
EMILY SMITH Governing Person -
EMILY SMITH, M.D. INCORPORATOR 179 LINCOLN ST STE 404, BOSTON, MA, 02111-2425, UNITED STATES

Links between entities

Type:
Headquarter of
Company Number:
4780637
State:
IDAHO
Type:
Headquarter of
Company Number:
1345014
State:
MISSISSIPPI

National Provider Identifier

NPI Number:
1467271320
Certification Date:
2024-10-08

Authorized Person:

Name:
EMILY DAVIAU SMITH
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207RE0101X - Endocrinology, Diabetes & Metabolism Physician
Is Primary:
Yes

Contacts:

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