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SWOFFORD & ROE PSYCHIATRIC ASSOCIATES PLLC

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Company Details

Legal Name: SWOFFORD & ROE PSYCHIATRIC ASSOCIATES PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: December 2nd 2022
Expiration date: 31 Dec 2025
UBI Number: 605 004 140
ZIP code: 98663
City: Vancouver
County: CLARK
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 2600 F ST, VANCOUVER, WA, 98663-3031, UNITED STATES

Contact Details

E-Mail: JULIA.SWOFFORD@GMAIL.COM
Phone Number: +1 801-388-3523

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
JULIA SWOFFORD Registered Agent 2600 F ST, VANCOUVER, WA, 98663-3031, UNITED STATES

Key Officers & Management

Name Role Address
JULIA SWOFFORD Executor 2600 F ST, VANCOUVER, WA, 98663-3031, UNITED STATES
BRENDAN ROE Executor 2600 F ST, VANCOUVER, WA, 98663-3031, UNITED STATES
JULIA SWOFFORD Governing Person -

National Provider Identifier

NPI Number:
1932807310
Certification Date:
2023-02-16

Authorized Person:

Name:
DR. BRENDAN ADAM ROE
Role:
CEO
Phone:

Taxonomy:

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

Contacts:

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