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WEST SOUND CHIROPRACTIC CLINIC, PLLC

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Company Details

Legal Name: WEST SOUND CHIROPRACTIC CLINIC, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: May 26th 2004
Date of Dissolution: January 18th 2012
Expiration date: 31 May 2012
UBI Number: 602 398 836
ZIP code: 98366
City: Port Orchard
County: KITSAP
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1008 BETHEL AVE STE A, PORT ORCHARD, WA, 98366, UNITED STATES

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Registered Agent Information

Name Role Address
HEATHER WITTE DC Registered Agent 1008 BETHEL AVE SE STE A, PORT ORCHARD, WA, 98366, UNITED STATES

Key Officers & Management

Name Role Address
HEATHER WITTE Governing Person -
FARRELL JAMES Governing Person -
CATHERINE NILES DC Governing Person -
HEATHER WITTE EXECUTOR 13228 129TH ST KPN, GIG HARBOR, WA, 98329, UNITED STATES
KENNETH B FREDERICK EXECUTOR 1335 TIMBER TRAIL RD, PORT ORCHARD, WA, 98366, UNITED STATES
CATHERINE NILES EXECUTOR 7172 MCCORMICK WOODS DR, PORT ORCHARD, WA, 98367, UNITED STATES

National Provider Identifier

NPI Number:
1396886495

Authorized Person:

Name:
DR. CATHERINE W NILES
Role:
PART OWNER
Phone:

Taxonomy:

Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
Yes

Contacts:

Fax:
3608951166
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