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NORTHWEST NEUROLOGY, CAROLYN L. TAYLOR, M.D., P.S.

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Company Details

Legal Name: NORTHWEST NEUROLOGY, CAROLYN L. TAYLOR, M.D., P.S.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: October 14th 2003
Date of Dissolution: February 1st 2016
Expiration date: 31 Oct 2015
UBI Number: 602 333 988

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Registered Agent Information

Name Role Address
JOHN W BRUTON Registered Agent 119 N COMMERCIAL ST STE 990, BELLINGHAM, WA, 98227-0669, UNITED STATES

Key Officers & Management

Name Role Address
CAROLYN TAYLOR Governing Person 11 BELLWETHER WAY, BELLINGHAM, WA, 98225, UNITED STATES

National Provider Identifier

NPI Number:
1275652463

Authorized Person:

Name:
DR. CAROLYN L TAYLOR
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QM2500X - Medical Specialty Clinic/Center
Is Primary:
No
Selected Taxonomy:
2084N0400X - Neurology Physician
Is Primary:
Yes

Contacts:

Fax:
3607521647
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