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PEARSON MEDICAL CLINIC, P.L.L.C.

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Company Details

Legal Name: PEARSON MEDICAL CLINIC, P.L.L.C.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: August 10th 1995
Date of Dissolution: January 3rd 2019
Expiration date: 31 Aug 2018
UBI Number: 601 656 030
ZIP code: 98674
City: Woodland
County: COWLITZ
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 527 2ND ST, WOODLAND, WA, 98674, UNITED STATES

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Registered Agent Information

Name Role Address
ELLIS JOHNSON Registered Agent 527 2ND ST, WOODLAND, WA, 98674-8486, UNITED STATES

Key Officers & Management

Name Role
ELLIS JOHNSON Governing Person
MARLENE THOENY Governing Person

National Provider Identifier

NPI Number:
1619934007

Authorized Person:

Name:
MARLENE THOENY
Role:
MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
3602258527
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