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PHASES CLINIC PLLC

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Company Details

Legal Name: PHASES CLINIC PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: January 30th 2024
Expiration date: 31 Jan 2026
UBI Number: 605 397 407
ZIP code: 98045
City: North Bend
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 201 W NORTH BEND WAY STE 200, NORTH BEND, WA, 98045-8169, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 15820 9TH AVE NE, SHORELINE, WA, 98155-6245, UNITED STATES

Contact Details

E-Mail: VANESSALWEILAND@GMAIL.COM
Phone Number: +1 513-675-3702

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
VANESSA WEILAND Registered Agent 15820 9TH AVE NE, SHORELINE, WA, 98155-6245, UNITED STATES

Key Officers & Management

Name Role Address
VANESSA WEILAND Executor 15820 9TH AVE NE, SHORELINE, WA, 98155-6245, UNITED STATES
VANESSA WEILAND Governing Person -

National Provider Identifier

NPI Number:
1629833900
Certification Date:
2024-07-02

Authorized Person:

Name:
VANESSA L WEILAND
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
8334506079
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