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NORTHWEST WELLNESS, LLC

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Company Details

Legal Name: NORTHWEST WELLNESS, LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: March 3rd 2005
Date of Dissolution: July 1st 2013
Expiration date: 31 Mar 2013
UBI Number: 602 479 266

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Registered Agent Information

Name Role Address
GLENN FLETCHER Registered Agent 5115 NE 76TH ST, VANCOUVER, WA, 98661, UNITED STATES

Key Officers & Management

Name Role Address
GLENN FLETCHER Governing Person 3907 NE 54TH AVE, VANCOUVER, WA, 98661, UNITED STATES
DENISE FLETCHER Governing Person 3907 NE 54TH AVE, VANCOUVER, WA, 98661, UNITED STATES

Unique Entity ID

CAGE Code:
74M37
UEI Expiration Date:
2015-05-08

Business Information

Activation Date:
2014-05-27
Initial Registration Date:
2014-05-08

Commercial and government entity program

CAGE number:
74M37
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2015-05-08

Contact Information

POC:
GLENN FLETCHER
Corporate URL:
http://www.nwwellness.com

National Provider Identifier

NPI Number:
1982771812

Authorized Person:

Name:
DR. DAVID OGLE
Role:
DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
163WC1500X - Community Health Registered Nurse
Is Primary:
No
Selected Taxonomy:
175F00000X - Naturopath
Is Primary:
No
Selected Taxonomy:
174H00000X - Health Educator
Is Primary:
No
Selected Taxonomy:
291U00000X - Clinical Medical Laboratory
Is Primary:
Yes

Contacts:

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