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NORTHWEST HEALTH ASSOCIATES INC.

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Company Details

Legal Name: NORTHWEST HEALTH ASSOCIATES INC.
Jurisdiction: WASHINGTON
Entity Type: WA PROFIT CORPORATION
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: June 24th 2013
Date of Dissolution: November 3rd 2019
Expiration date: 30 Jun 2019
UBI Number: 603 312 617
ZIP code: 98503
City: Lacey
County: THURSTON
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 4770 YELM HWY SE, LACEY, WA, 98503-4986, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 1560 3RD AVE, LONGVIEW, WA, 98632-3229, UNITED STATES

Contact Details

E-Mail: HEATHERW@PTNWREHAB.COM
Phone Number: +1 360-423-9535

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
DANIEL HUGHES Registered Agent 1560 THIRD AVE, LONGVIEW, WA, 98632-0000, UNITED STATES

Key Officers & Management

Name Role Address
GLEN CARSON Governing Person 3125 VIRGINIA WAY, LONGVIEW, WA, 98632-5418, UNITED STATES
DAVID BLANCHARD Governing Person 9925 DOTSON ST SE, YELM, WA, 98597, UNITED STATES
DANIEL HUGHES Governing Person 15 COUNTRY CLUB DR, LONGVIEW, WA, 98632-5424, UNITED STATES

National Provider Identifier

NPI Number:
1396185906

Authorized Person:

Name:
MR. DANIEL LEE HUGHES
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
225100000X - Physical Therapist
Is Primary:
Yes

Contacts:

Fax:
3604149284
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