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PAIN AND WELLNESS NW, PLLC

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Company Details

Legal Name: PAIN AND WELLNESS NW, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Inactive
Formation/ Registration Date: April 8th 2010
Date of Dissolution: April 11th 2011
Expiration date: 30 Apr 2011
UBI Number: 603 007 704
ZIP code: 98055
City: Renton
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 4300 TALBOT ROAD, SUITE 200, RENTON, WA, 98055, UNITED STATES

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Registered Agent Information

Name Role Address
JIANPINGSUN Registered Agent 4300 TALBOT ROAD S #200, RENTON, WA, 98055, UNITED STATES

Key Officers & Management

Name Role Address
JIANPING SUN Governing Person 4300 TALBOT ROAD S, SUITE 200, RENTON, WA, 98055, UNITED STATES
ZHENGYU HU Governing Person 4300 TALBOT ROAD S, SUITE 200, RENTON, WA, 98055, UNITED STATES

National Provider Identifier

NPI Number:
1952624009

Authorized Person:

Name:
CARRIE BERGESON
Role:
BILLER
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Fax:
4124123281
Fax:
4254123281
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