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FAIRHAVEN FAMILY MEDICINE, P.S.

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Company Details

Legal Name: FAIRHAVEN FAMILY MEDICINE, P.S.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Voluntarily Dissolved
Formation/ Registration Date: November 25th 2008
Date of Dissolution: June 5th 2017
Expiration date: 30 Nov 2017
UBI Number: 602 881 379
ZIP code: 98233
City: Burlington
County: SKAGIT
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1030 E FAIRHAVEN AVE, BURLINGTON, WA, 98233, UNITED STATES

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Registered Agent Information

Name Role Address
LAWRENCE A PIRKLE Registered Agent 1220 MEMORIAL HWY STE A, MOUNT VERNON, WA, 98273-0000, UNITED STATES

Key Officers & Management

Name Role Address
STEPHEN ALDRICH Governing Person 1030 E FAIRHAVEN AVE, BURLINGTON, WA, 98233, UNITED STATES
WAYNE MARTIN Governing Person 1030 E FAIRHAVEN AVE, BURLINGTON, WA, 98233, UNITED STATES

National Provider Identifier

NPI Number:
1740425685

Authorized Person:

Name:
DR. STEPHEN M ALDRICH
Role:
OWNER/PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
261QM1300X - Multi-Specialty Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QM1300X - Multi-Specialty Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
3607551272
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