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CASCADE CLINIC, LLC

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Company Details

Legal Name: CASCADE CLINIC, LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: October 13th 2021
Date of Dissolution: March 3rd 2025
Expiration date: 31 Oct 2024
UBI Number: 604 812 976
ZIP code: 98660
City: Vancouver
County: CLARK
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1220 MAIN ST, SUITE 400, VANCOUVER, WA, 98660-2963, UNITED STATES

Contact Details

E-Mail: KARRIE@CASCADETHERAPYCLINIC.COM
Phone Number: +1 369-230-8557

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
KARRIE PETERSEN Registered Agent 1220 MAIN ST, SUITE 400, VANCOUVER, WA, 98660, UNITED STATES

Key Officers & Management

Name Role Address
KARRIE PETERSEN Executor 300 W 8TH ST UNIT 327, VANCOUVER, WA, 98660-3439, UNITED STATES
KARRIE PETERSEN Governing Person 300 W 8TH ST, 327, VANCOUVER, WA, 98660-3439, UNITED STATES

National Provider Identifier

NPI Number:
1063175644
Certification Date:
2023-12-20

Authorized Person:

Name:
KARRIE J PETERSEN
Role:
OWNER/PROVIDER
Phone:

Taxonomy:

Selected Taxonomy:
235Z00000X - Speech-Language Pathologist
Is Primary:
No
Selected Taxonomy:
261QA3000X - Augmentative Communication Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QH0700X - Hearing and Speech Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
8889150898
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