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ROSE FAMILY MEDICINE PLLC

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Company Details

Legal Name: ROSE FAMILY MEDICINE PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: May 4th 2012
Date of Dissolution: October 3rd 2019
Expiration date: 31 May 2019
UBI Number: 603 204 333
ZIP code: 98683
City: Vancouver
County: CLARK
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1499 SE TECH CENTER L #135, VANCOUVER, WA, 98683, UNITED STATES

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Registered Agent Information

Name Role Address
SAMPATH LAW GROUP, PLLC Registered Agent 2404 E MILL PLAIN BLVD STE A, VANCOUVER, WA, 98661-4334, UNITED STATES

Key Officers & Management

Name Role
MATTHEW ROSE Governing Person

National Provider Identifier

NPI Number:
1104176007

Authorized Person:

Name:
DR. MATTHEW HOWARD ROSE
Role:
PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

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