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NORTHWEST HEALTH & HEALING, PLLC

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Company Details

Legal Name: NORTHWEST HEALTH & HEALING, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: January 28th 2021
Expiration date: 31 Jan 2026
UBI Number: 604 707 917
ZIP code: 98292
City: Stanwood
County: SNOHOMISH
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 7202 267TH ST NW STE 104, STANWOOD, WA, 98292-6270, UNITED STATES
Principal Office Mailing Address: Google Maps Logo PO BOX 808, STANWOOD, WA, 98292-0808, UNITED STATES

Contact Details

E-Mail: MEGHANWAGNER@NORTHWESTHEALTHANDHEALING.COM
Phone Number: +1 425-263-1189

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
MEGHAN WAGNER Registered Agent 16714 E LAKE GOODWIN RD, STANWOOD, WA, 98292-7778, UNITED STATES

Key Officers & Management

Name Role Address
MEGHAN WAGNER Executor 843 E VICTORIA AVE, BURLINGTON, WA, 98233-1306, UNITED STATES
MEGHAN WAGNER Governing Person 843 E VICTORIA AVE, BURLINGTON, WA, 98233-1306, UNITED STATES

National Provider Identifier

NPI Number:
1366298861
Certification Date:
2025-01-14

Authorized Person:

Name:
GEORGE NICOLAAS WAGNER
Role:
PRACTICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
163WA0400X - Addiction (Substance Use Disorder) Registered Nurse
Is Primary:
No
Selected Taxonomy:
163WG0000X - General Practice Registered Nurse
Is Primary:
No
Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
8334283954
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