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METHOW MIDWIFERY AND WOMEN'S HEALTH, PLLC

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Company Details

Legal Name: METHOW MIDWIFERY AND WOMEN'S HEALTH, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: May 20th 2008
Date of Dissolution: October 2nd 2017
Expiration date: 31 May 2017
UBI Number: 602 833 662
ZIP code: 98856
City: Twisp
County: OKANOGAN
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 214 GLOVER ST, TWISP, WA, 98856, UNITED STATES

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Registered Agent Information

Name Role Address
BLUE BRADLEY Registered Agent 214 GLOVER ST, TWISP, WA, 98856-0000, UNITED STATES

Key Officers & Management

Name Role Address
BLUE BRADLEY Governing Person 13 TRILLIUM RD, WINTHROP, WA, 98862, UNITED STATES

National Provider Identifier

NPI Number:
1407009160

Authorized Person:

Name:
BLUE E BRADLEY
Role:
MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
363LW0102X - Women's Health Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
367A00000X - Advanced Practice Midwife
Is Primary:
Yes

Contacts:

Fax:
2532315763
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