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EVERGREEN WOMEN'S HEALTH, PC

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Company Details

Legal Name: EVERGREEN WOMEN'S HEALTH, PC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: April 2nd 2018
Expiration date: 30 Apr 2026
UBI Number: 604 266 298
ZIP code: 98660
City: Vancouver
County: CLARK
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1207 WASHINGTON ST STE 145, VANCOUVER, WA, 98660, UNITED STATES

Contact Details

E-Mail: OPERATIONS@EVERGREENGYN.COM
Phone Number: +1 360-601-7285

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
JODINE DIXON Registered Agent 1706 W MAIN ST, BATTLE GROUND, WA, 98604-4319, UNITED STATES

Key Officers & Management

Name Role Address
CYNTHIA MCNALLY Governing Person 1610 C ST STE 207, VANCOUVER, WA, 98663-3400, UNITED STATES
CYNTHIA MCNALLY Incorporator 2806 NE 105TH CIR, VANCOUVER, WA, 98686-4031, UNITED STATES

National Provider Identifier

NPI Number:
1467940726
Certification Date:
2023-08-31

Authorized Person:

Name:
D'ANN SPRINKLE
Role:
PRACTICE ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
207VG0400X - Gynecology Physician
Is Primary:
Yes

Contacts:

Fax:
3602580757

History

Type Old value New value Date of change
Name change EVERGREEN INTEGRATIVE GYNECOLOGY, P.C. EVERGREEN WOMEN'S HEALTH, PC 2021-03-01
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