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WILD ROSE CLINIC INC

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Company Details

Legal Name: WILD ROSE CLINIC INC
Jurisdiction: WASHINGTON
Entity Type: WA PROFIT CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: October 7th 2011
Expiration date: 31 Oct 2025
UBI Number: 603 149 721
ZIP code: 99336
City: Kennewick
County: BENTON
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 2702 W IMNAHA AVE, KENNEWICK, WA, 99336-2532, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 310 N NEEL ST, KENNEWICK, WA, 99336-2663, UNITED STATES

Contact Details

E-Mail: RR.PIERSON7@GMAIL.COM
Phone Number: +1 509-551-9980

Nature of Business

Administration & Business Support Services

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Registered Agent Information

Name Role Address
REBEKAH PIERSON Registered Agent 2702 W IMNAHA AVE, KENNEWICK, WA, 99336-2532, UNITED STATES

Key Officers & Management

Name Role Address
REBEKAH PIERSON Governing Person 2702 W IMNAHA, KENNEWICK, WA, 99336, UNITED STATES

National Provider Identifier

NPI Number:
1275809550

Authorized Person:

Name:
REBEKAH PIERSON
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
363LW0102X - Women's Health Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
367A00000X - Advanced Practice Midwife
Is Primary:
Yes

Contacts:

Fax:
5094604833
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