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LEWIS COUNTY PEDIATRICS AND FAMILY MEDICINE PLLC

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Company Details

Legal Name: LEWIS COUNTY PEDIATRICS AND FAMILY MEDICINE PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: October 24th 2024
Expiration date: 31 Oct 2025
UBI Number: 605 633 731
ZIP code: 98565
City: Napavine
County: LEWIS
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 375A LINHART AVE NE, NAPAVINE, WA, 98565, UNITED STATES

Contact Details

E-Mail: CHANELPATANA@OUTLOOK.COM
Phone Number: +1 360-880-4955

Nature of Business

Any Lawful Purpose, MEDICAL FACILITY

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Registered Agent Information

Name Role
UNITED STATES CORPORATION AGENTS, INC. Registered Agent

Key Officers & Management

Name Role Address
CHANEL PATANA Executor 172 HOLGATE LN, CHEHALIS, WA, 98532-8964, UNITED STATES
CHANEL PATANA Governing Person -
WILLIAM PATANA Governing Person -

National Provider Identifier

NPI Number:
1366247710
Certification Date:
2025-02-11

Authorized Person:

Name:
CHANEL MARIE TANGEN PATANA
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
Yes

Contacts:

History

Type Old value New value Date of change
Name change LEWIS COUNTY PEDIATRICS, PLLC LEWIS COUNTY PEDIATRICS AND FAMILY MEDICINE PLLC 2025-02-07
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