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ELLENSBURG INTEGRATIVE MEDICINE PLLC

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Company Details

Legal Name: ELLENSBURG INTEGRATIVE MEDICINE PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: April 20th 2021
Date of Dissolution: September 3rd 2024
Expiration date: 30 Apr 2024
UBI Number: 604 747 612
ZIP code: 98258
City: Lake Stevens
County: SNOHOMISH
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 502 RHODORA HEIGHTS RD, LAKE STEVENS, WA, 98258-9721, UNITED STATES

Contact Details

E-Mail: DRMIGGINS1@GMAIL.COM

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
ELLENSBURG INTEGRATIVE MEDICINE Registered Agent 502 RHODORA HEIGHTS RD, LAKE STEVENS, WA, 98258-9721, UNITED STATES

Key Officers & Management

Name Role Address
LARRY MIGGINS Executor 304 S WATER ST, 103, ELLENSBURG, WA, 98926-3617, UNITED STATES
LARRY MIGGINS Governing Person 304 S WATER ST, 103, ELLENSBURG, WA, 98926-3617, UNITED STATES

National Provider Identifier

NPI Number:
1649853367
Certification Date:
2021-04-30

Authorized Person:

Name:
DR. LARRY MIGGINS
Role:
MEMBER
Phone:

Taxonomy:

Selected Taxonomy:
2081P2900X - Pain Medicine (Physical Medicine & Rehabilitation) Physician
Is Primary:
Yes

Contacts:

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