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PAYETTE CLINICS, PC

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Company Details

Legal Name: PAYETTE CLINICS, PC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: April 13th 2005
Date of Dissolution: April 10th 2012
Expiration date: 30 Apr 2013
UBI Number: 602 497 542

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Registered Agent Information

Name Role Address
NATIONAL REGISTERED AGENTS, INC. Registered Agent 711 CAPITOL WAY S STE 204, OLYMPIA, WA, 98501-1267, UNITED STATES

Key Officers & Management

Name Role Address
KELLY BELL Governing Person 300 WEST 39TH STREET, VANCOUVER, WA, 98660, UNITED STATES
SCOTT PECORA Governing Person 300 WEST 39TH STREET, VANCOUVER, WA, 98660, UNITED STATES

National Provider Identifier

NPI Number:
1629192075

Authorized Person:

Name:
KELLY MARTENE BELL
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
3609931800
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