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OLYMPIC PAIN SOLUTIONS, PLLC

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Company Details

Legal Name: OLYMPIC PAIN SOLUTIONS, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: November 30th 2020
Expiration date: 30 Nov 2025
UBI Number: 604 672 095
ZIP code: 98043
City: Mountlake Terrace
County: SNOHOMISH
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 6603 220TH ST SW STE 102, MOUNTLAKE TER, WA, 98043-2186, UNITED STATES

Contact Details

E-Mail: THAYER@CARNEYLAW.COM

Nature of Business

Any Lawful Purpose

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Registered Agent Information

Name Role Address
MARK SHELLEY Registered Agent 6603 220TH ST SW STE 102, MOUNTLAKE TER, WA, 98043-2186, UNITED STATES

Key Officers & Management

Name Role Address
MARK SHELLEY Executor 6603 220TH ST SW STE 102, MOUNTLAKE TER, WA, 98043-2186, UNITED STATES
MARK SHELLEY Governing Person -

National Provider Identifier

NPI Number:
1730784497
Certification Date:
2020-12-01

Authorized Person:

Name:
DR. MARK S SHELLEY
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
4256727065
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