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NORTHWEST GLAUCOMA AND CATARACT CONSULTANTS, PLLC

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Company Details

Legal Name: NORTHWEST GLAUCOMA AND CATARACT CONSULTANTS, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Voluntarily Dissolved
Formation/ Registration Date: March 14th 2016
Date of Dissolution: March 23rd 2021
Expiration date: 31 Mar 2021
UBI Number: 603 596 596
ZIP code: 98104
City: Seattle
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1229 MADISON ST STE 1250, SEATTLE, WA, 98104, UNITED STATES

Contact Details

E-Mail: JWHITEHEAD@EVERGREENEYE.COM

Nature of Business

MEDICAL PRACTICE

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Registered Agent Information

Name Role Address
JOHN J WHITEHEAD MD Registered Agent 1229 MADISON ST STE 1250, SEATTLE, WA, 98104-3568, UNITED STATES

Key Officers & Management

Name Role Address
JOHN WHITEHEAD Governing Person 1409 W. HORIZON DR, MUKILTEO, WA, 98275, UNITED STATES

National Provider Identifier

NPI Number:
1811445018

Authorized Person:

Name:
JOHN WHITEHEAD
Role:
MEMBER/OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QS0132X - Ophthalmologic Surgery Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QA1903X - Ambulatory Surgical Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2062231963
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