BLUE MOUNTAIN MEDICAL, PLLC
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| Legal Name: | BLUE MOUNTAIN MEDICAL, PLLC |
| Jurisdiction: | WASHINGTON |
| Entity Type: | WA PROFESSIONAL LIMITED LIABILITY COMPANY |
| Category: | DOMESTIC ENTITY |
| Status: | Active |
| Formation/ Registration Date: | December 9th 2021 |
| Expiration date: | 31 Dec 2025 |
| UBI Number: | 604 839 871 |
| ZIP code: | 99403 |
| City: | Clarkston |
| County: | ASOTIN |
| Home State: | WASHINGTON |
| Principal Office Street Address: |
1268 BRIDGE ST, CLARKSTON, WA, 99403-2219, UNITED STATES
|
| E-Mail: |
KEVINJBLACK@GMAIL.COM |
| Phone Number: |
+1 509-751-5500 |
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| Name | Role |
|---|---|
| BLUE MOUNTAIN FAMILY HEALTH, PLLC | Registered Agent |
| Name | Role | Address |
|---|---|---|
| ELIZABETH BLACK | Executor | PO BOX 418, ASOTIN, WA, 99402-0418, UNITED STATES |
| ELIZABETH BLACK | Governing Person | - |
| KEVIN BLACK | Governing Person | 1271 HIGHLAND AVE STE B, CLARKSTON, WA, 99403-2846, UNITED STATES |