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PACIFIC NORTHWEST PAIN CENTER, PC

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Company Details

Legal Name: PACIFIC NORTHWEST PAIN CENTER, PC
Jurisdiction: WASHINGTON
Entity Type: FOREIGN PROFESSIONAL SERVICE CORPORATION
Category: FOREIGN ENTITY
Status: Active
Formation/ Registration Date: November 17th 2011
Expiration date: 30 Nov 2025
UBI Number: 603 159 932
ZIP code: 98686
City: Vancouver
County: CLARK
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 2312 NE 129TH ST, VANCOUVER, WA, 98686-3236, UNITED STATES
Principal Office Mailing Address: Google Maps Logo PO BOX 1600, VANCOUVER, WA, 98668-1600, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $9,299

Contact Details

E-Mail: BENANDROSIE@GMAIL.COM

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
BENJAMIN PLATT Registered Agent 2312 NE 129TH AVE, VANCOUVER, WA, 98686-0000, UNITED STATES

Key Officers & Management

Name Role
BENJAMIN PLATT Governing Person

National Provider Identifier

NPI Number:
1114295300

Authorized Person:

Name:
DR. BENJAMIN J PLATT
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207LP2900X - Pain Medicine (Anesthesiology) Physician
Is Primary:
Yes

Contacts:

Fax:
3606965445
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