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NORTHWEST WHOLEHEALTH PLLC

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Company Details

Legal Name: NORTHWEST WHOLEHEALTH PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: January 21st 2023
Expiration date: 31 Jan 2026
UBI Number: 605 011 892
ZIP code: 99336
City: Kennewick
County: BENTON
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 30 S LOUISIANA ST STE 205, KENNEWICK, WA, 99336-9003, UNITED STATES

Contact Details

E-Mail: JMH.FERGUSON@GMAIL.COM
Phone Number: +1 509-750-6428

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
JENNIFER FERGUSON Registered Agent 226 PIPER ST, RICHLAND, WA, 99352-8703, UNITED STATES

Key Officers & Management

Name Role Address
JENNIFER FERGUSON Executor 8108 W GRANDRIDGE BLVD, KENNEWICK, WA, 99336-7157, UNITED STATES
JENNIFER FERGUSON Governing Person 8108 W GRANDRIDGE BLVD, KENNEWICK, WA, 99336-7157, UNITED STATES

National Provider Identifier

NPI Number:
1689453573
Certification Date:
2023-10-12

Authorized Person:

Name:
JENNIFER FERGUSON
Role:
OWNER/ARNP
Phone:

Taxonomy:

Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
7852688679
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