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NORTHWEST SUBOXONE CLINIC LLC

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Company Details

Legal Name: NORTHWEST SUBOXONE CLINIC LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: July 13th 2022
Expiration date: 31 Jul 2026
UBI Number: 604 936 861
ZIP code: 99201
City: Spokane
County: SPOKANE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 100 N HOWARD ST STE R, SPOKANE, WA, 99201-0508, UNITED STATES

Contact Details

E-Mail: WESTERN@REGISTEREDAGENTSINC.COM

Nature of Business

Any Lawful Purpose, OPIOID ADDICTION TREATMENT CLINIC

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Registered Agent Information

Name Role
REGISTERED AGENTS INC Registered Agent

Key Officers & Management

Name Role Address
RILEY PARK Executor 100 N HOWARD ST STE R, SPOKANE, WA, 99201-0508, UNITED STATES
MICHAEL COLVER Governing Person -

National Provider Identifier

NPI Number:
1407578263
Certification Date:
2023-09-30

Authorized Person:

Name:
MICHAEL COLVER
Role:
DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary:
Yes

Contacts:

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