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JOHN BAUSHER, M.D., PH.D, P.S.

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Company Details

Legal Name: JOHN BAUSHER, M.D., PH.D, P.S.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: December 22nd 1995
Expiration date: 31 Dec 2025
UBI Number: 601 677 792
ZIP code: 98520
City: Aberdeen
County: GRAYS HARBOR
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1020 ANDERSON DR STE 203, ABERDEEN, WA, 98520-1055, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $22,925

Contact Details

E-Mail: JAND@FMGH.ORG
Phone Number: +1 360-533-6063

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
HAGEN & BATES P.S. Registered Agent 316 E 1ST ST, ABERDEEN, WA, 98520-5220, UNITED STATES

Key Officers & Management

Name Role
JOHN BAUSHER Governing Person

National Provider Identifier

NPI Number:
1518006220

Authorized Person:

Name:
JAN DAHL
Role:
OFFICE MANAGER
Phone:

Taxonomy:

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

Contacts:

Fax:
3605332204
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