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R. TYLER REIDENBAUGH, MD PLLC

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Company Details

Legal Name: R. TYLER REIDENBAUGH, MD PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: August 29th 2018
Date of Dissolution: January 3rd 2020
Expiration date: 31 Aug 2019
UBI Number: 604 308 779
ZIP code: 98372
City: Puyallup
County: PIERCE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 122 E STEWART AVE, PUYALLUP, WA, 98372-3007, UNITED STATES

Contact Details

E-Mail: TONI@FROEHLINGLAW.COM

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
FROEHLING LAW OFFICE Registered Agent 122 E. STEWART AVE, PUYALLUP, WA, 98372-3007, UNITED STATES

Key Officers & Management

Name Role Address
ANTONI FROEHLING Executor 122 E STEWART AVE, PUYALLUP, WA, 98372-3007, UNITED STATES
R. TYLER REIDENBAUGH Governing Person -

National Provider Identifier

NPI Number:
1316421803

Authorized Person:

Name:
DR. ROBERT TYLER REIDENBAUGH
Role:
ATTENDING PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
324500000X - Substance Abuse Rehabilitation Facility
Is Primary:
Yes

Contacts:

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