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CASCADE AUDIOLOGY AND HEARING AID CENTER PLLC

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Company Details

Legal Name: CASCADE AUDIOLOGY AND HEARING AID CENTER PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: August 9th 2010
Date of Dissolution: December 1st 2014
Expiration date: 31 Aug 2014
UBI Number: 603 052 627
ZIP code: 98274
City: Mount Vernon
County: SKAGIT
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 124 SOUTH 12TH STREET, MOUNT VERNON, WA, 98274, UNITED STATES

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Registered Agent Information

Name Role Address
CASCADE MEDICAL GROUP PS INC Registered Agent 124 S 12TH ST, MOUNT VERNON, WA, 98274, UNITED STATES

Key Officers & Management

Name Role Address
GARY JOHNSON MD Governing Person 16936 LAKEVIEW BLVD, MOUNT VERNON, WA, 98273, UNITED STATES
KEVIN HARRIS MD Governing Person 4209 GLASGOW WAY, ANACORTES, WA, 98221, UNITED STATES
GARY BROWN MD Governing Person 15308 BARRETT RD, MOUNT VERNON, WA, 98273, UNITED STATES
JAMES GROSS Governing Person 22516 CULLY RD, SEDRO WOOLLEY, WA, 98284, UNITED STATES

National Provider Identifier

NPI Number:
1730488693

Authorized Person:

Name:
SHONIE E HANNAH
Role:
HEAD AUDIOLOGIST
Phone:

Taxonomy:

Selected Taxonomy:
261QH0700X - Hearing and Speech Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
3603361995
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