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TIDAL ANESTHESIA, PLLC

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Company Details

Legal Name: TIDAL ANESTHESIA, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: March 21st 2023
Expiration date: 31 Mar 2026
UBI Number: 605 148 477
ZIP code: 98116
City: Seattle
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 4555 54TH AVE SW, SEATTLE, WA, 98116-3940, UNITED STATES

Contact Details

E-Mail: TJSWENS@GMAIL.COM
Phone Number: +1 206-802-8421

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
THOMAS SWENSON Registered Agent 4555 54TH AVE SW, SEATTLE, WA, 98116-3940, UNITED STATES

Key Officers & Management

Name Role Address
THOMAS SWENSON Executor 4555 54TH AVE SW, SEATTLE, WA, 98116-3940, UNITED STATES
THOMAS SWENSON Governing Person -

National Provider Identifier

NPI Number:
1245074046
Certification Date:
2024-06-25

Authorized Person:

Name:
THOMAS SWENSON
Role:
CRNA
Phone:

Taxonomy:

Selected Taxonomy:
367500000X - Certified Registered Nurse Anesthetist
Is Primary:
Yes

Contacts:

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