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OCEAN BEACH CHIROPRACTIC, P.S.

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Company Details

Legal Name: OCEAN BEACH CHIROPRACTIC, P.S.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: July 12th 2004
Date of Dissolution: March 4th 2019
Expiration date: 31 Jul 2017
UBI Number: 602 411 606
ZIP code: 98624
City: Ilwaco
County: PACIFIC
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 167 1ST AVE N, ILWACO, WA, 98624, UNITED STATES

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Registered Agent Information

Name Role Address
MATT REILLY Registered Agent 15616 27TH DR NE, MILL CREEK, WA, 98012-0000, UNITED STATES

Key Officers & Management

Name Role Address
MATTHEW REILLY Governing Person 15616 27TH DR NE, MILL CREEK, WA, 98012, UNITED STATES

National Provider Identifier

NPI Number:
1639396203

Authorized Person:

Name:
DR. MATTHEW J REILLY
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
Yes

Contacts:

Fax:
3606422363
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