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MADRONA RECOVERY WASHINGTON LLC

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Company Details

Legal Name: MADRONA RECOVERY WASHINGTON LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: December 20th 2023
Expiration date: 31 Dec 2025
UBI Number: 605 372 496
Home State: OREGON
Principal Office Street Address: Google Maps Logo 7000 SW VARNS ST, PORTLAND, OR, 97223-8145, UNITED STATES
Principal Office Mailing Address: Google Maps Logo BH SERVICE CO., INC., 805 SW BROADWAY STE 1900, PORTLAND, OR, 97205, UNITED STATES

Contact Details

E-Mail: SOP@BHLAW.COM
Phone Number: +1 503-734-7369

Nature of Business

Other Services

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Registered Agent Information

Name Role
CORPORATION SERVICE COMPANY Registered Agent

Key Officers & Management

Name Role Address
JOHN THORNTON, JR. Governing Person -
JOHN THORNTON EXECUTOR 7000 SW VARNS ST, PORTLAND, OR, 97223-8145, UNITED STATES

National Provider Identifier

NPI Number:
1174352975
Certification Date:
2024-07-30

Authorized Person:

Name:
MICAH BRADY BRAITHWAITE
Role:
CFO/COO
Phone:

Taxonomy:

Selected Taxonomy:
324500000X - Substance Abuse Rehabilitation Facility
Is Primary:
No
Selected Taxonomy:
323P00000X - Psychiatric Residential Treatment Facility
Is Primary:
Yes

Contacts:

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