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BRUCE A. PORTER, M.D., P.S.

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Company Details

Legal Name: BRUCE A. PORTER, M.D., P.S.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: May 27th 1988
Date of Dissolution: October 3rd 2018
Expiration date: 31 May 2018
UBI Number: 601 087 945
ZIP code: 98119
City: Seattle
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1300 W BOSTON ST #41, SEATTLE, WA, 98119, UNITED STATES

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Registered Agent Information

Name Role Address
BRITT MENNEN Registered Agent 1300 W BOSTON ST APT 41, SEATTLE, WA, 98119-2778, UNITED STATES

Key Officers & Management

Name Role
BRITT MENNEN Governing Person
BRUCE PORTER MD Governing Person

National Provider Identifier

NPI Number:
1417097585

Authorized Person:

Name:
DR. BRUCE ARNOLD PORTER
Role:
MEDICAL DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
2085R0202X - Diagnostic Radiology Physician
Is Primary:
Yes

Contacts:

Fax:
2063236989
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