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CHERRY HEIGHTS FAMILY MEDICINE OF WASHINGTON LLC

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Company Details

Legal Name: CHERRY HEIGHTS FAMILY MEDICINE OF WASHINGTON LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: April 9th 2024
Expiration date: 30 Apr 2026
UBI Number: 605 497 778
ZIP code: 98370
City: Poulsbo
County: KITSAP
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1862 CLARET LOOP NW, POULSBO, WA, 98370-8380, UNITED STATES

Contact Details

E-Mail: INFO@CHERRYHEIGHTSCLINIC.COM
Phone Number: +1 208-650-4888

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
CODY FRESTON Registered Agent 1862 CLARET LOOP NW, POULSBO, WA, 98370-8380, UNITED STATES

Key Officers & Management

Name Role Address
CODY FRESTON Executor 1862 CLARET LOOP NW, POULSBO, WA, 98370-8380, UNITED STATES
CHERESE COMBS Executor 1862 CLARET LOOP NW, POULSBO, WA, 98370-8380, UNITED STATES
CODY FRESTON Governing Person -

National Provider Identifier

NPI Number:
1013750082
Certification Date:
2024-08-02

Authorized Person:

Name:
MR. CODY FRESTON
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
363LP2300X - Primary Care Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

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