PRIVIA MEDICAL GROUP WASHINGTON, PLLC
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| Legal Name: | PRIVIA MEDICAL GROUP WASHINGTON, PLLC |
| Jurisdiction: | WASHINGTON |
| Entity Type: | WA PROFESSIONAL LIMITED LIABILITY COMPANY |
| Category: | DOMESTIC ENTITY |
| Status: | Active |
| Formation/ Registration Date: | December 24th 1970 |
| Expiration date: | 31 Dec 2025 |
| UBI Number: | 600 034 580 |
| ZIP code: | 99362 |
| City: | Walla Walla |
| County: | WALLA WALLA |
| Home State: | WASHINGTON |
| Principal Office Street Address: |
55 W TIETAN ST, WALLA WALLA, WA, 99362-4445, UNITED STATES
|
| Principal Office Mailing Address: |
950 N GLEBE RD STE 700, ARLINGTON, VA, 22203-4173, UNITED STATES
|
| E-Mail: |
DMOUNTCASTLE@PRIVIAHEALTH.COM |
| Phone Number: |
+1 703-819-6236 |
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| Name | Role |
|---|---|
| NATIONAL REGISTERED AGENTS, INC. | Registered Agent |
| Name | Role |
|---|---|
| DAVID MOUNTCASTLE | Governing Person |
| Type | Old value | New value | Date of change |
|---|---|---|---|
| Name change | WALLA WALLA CLINIC, PLLC | PRIVIA MEDICAL GROUP WASHINGTON, PLLC | 2023-08-24 |
| Name change | WALLA WALLA CLINIC, INC., P.S. | WALLA WALLA CLINIC, PLLC | 2023-08-07 |