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CEDAR FAMILY MEDICINE, INCORPORATED

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Company Details

Legal Name: CEDAR FAMILY MEDICINE, INCORPORATED
Jurisdiction: WASHINGTON
Entity Type: WA PROFIT CORPORATION
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: December 4th 2003
Date of Dissolution: April 1st 2014
Expiration date: 31 Dec 2013
UBI Number: 602 330 446
ZIP code: 98685
City: Vancouver
County: CLARK
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1404 NE 134TH ST STE 170, VANCOUVER, WA, 98685, UNITED STATES

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Registered Agent Information

Name Role Address
BRUCE COLVEN Registered Agent 900 WASHINGTON ST STE 1000, VANCOUVER, WA, 98660, UNITED STATES

Key Officers & Management

Name Role
CYNTHIA COLVEN Governing Person
BRUCE COLVEN Governing Person

National Provider Identifier

NPI Number:
1851341077

Authorized Person:

Name:
DR. CYNTHIA WOODSON COLVEN
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
3605731384
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