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UROGYNECOLOGY & HEALING ARTS, PLLC

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Company Details

Legal Name: UROGYNECOLOGY & HEALING ARTS, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Voluntarily Dissolved
Formation/ Registration Date: May 23rd 2019
Date of Dissolution: April 17th 2024
Expiration date: 31 May 2024
UBI Number: 604 467 727
ZIP code: 98115
City: Seattle
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 9730 3RD AVE NE STE 208, SEATTLE, WA, 98115-2023, UNITED STATES

Contact Details

E-Mail: REGISTEREDAGENT@CAIRNCROSS.COM

Nature of Business

Health Care, Social Assistance & Service Organization, Professional, Scientific & Technical Services

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Key Officers & Management

Name Role Address
AEUMURO LAKE Governing Person -
DWIGHT WHEATON II EXECUTOR 524 2ND AVE STE 500, SEATTLE, WA, 98104-2323, UNITED STATES

U.S. Small Business Administration Profile

Phone Number:
E-mail Address:
Fax Number:
8772863929
Contact Person:
AEUMURO LAKE
Last Update Date:
2024-03-14
Naics Primary:
621111

Self-Certification:

Minority-Owned Business
Self-Certified Small Disadvantaged Business
For Profit Organization
Economically Disadvantaged Women-Owned Small Business
Women-Owned Small Business
Woman-Owned Business
Black American Owned
Subchapter S Corporation

National Provider Identifier

NPI Number:
1437702438
Certification Date:
2020-12-29

Authorized Person:

Name:
DR. AEUMURO GASHAW LASKE
Role:
OWNER/MEDICAL DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
207VF0040X - Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Is Primary:
Yes

Contacts:

Fax:
4252285733
Fax:
2062549220
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