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PACIFIC COAST INTEGRATED MEDICAL GROUP PLLC

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Company Details

Legal Name: PACIFIC COAST INTEGRATED MEDICAL GROUP PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: December 8th 2020
Expiration date: 31 Dec 2025
UBI Number: 604 674 389
ZIP code: 98101
City: Seattle
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1200 5TH AVE STE 1217, SEATTLE, WA, 98101-3115, UNITED STATES

Contact Details

E-Mail: CHRISTINA@BELLEVUEPAIN.COM

Nature of Business

Other Services

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Registered Agent Information

Name Role
REGISTERED AGENTS INC Registered Agent

Key Officers & Management

Name Role Address
KEVIN POLZIN Executor 12360 NE 8TH STREET #200, BELLEVUE, WA, 98005, UNITED STATES
KEVIN POLZIN Governing Person 1200 5TH AVE, SUITE 1217, SEATTLE, WA, 98101, UNITED STATES
PATRICIA MULLEN Governing Person 1200 5TH AVE, SUITE 1217, SEATTLE, WA, 98101, UNITED STATES

National Provider Identifier

NPI Number:
1578151742
Certification Date:
2021-01-04

Authorized Person:

Name:
DR. KEVIN LARRY POLZIN
Role:
MEMBER
Phone:

Taxonomy:

Selected Taxonomy:
111NN0400X - Neurology Chiropractor
Is Primary:
No
Selected Taxonomy:
111NX0800X - Orthopedic Chiropractor
Is Primary:
No
Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
175F00000X - Naturopath
Is Primary:
Yes

Contacts:

Fax:
8888994360
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