COLUMBIA INDEPENDENT PRACTICE ASSOCIATION, LLC
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| Legal Name: | COLUMBIA INDEPENDENT PRACTICE ASSOCIATION, LLC |
| Jurisdiction: | WASHINGTON |
| Entity Type: | WA LIMITED LIABILITY COMPANY |
| Category: | DOMESTIC ENTITY |
| Status: | Administratively Dissolved |
| Formation/ Registration Date: | August 15th 2013 |
| Date of Dissolution: | December 17th 2015 |
| Expiration date: | 31 Aug 2016 |
| UBI Number: | 603 326 526 |
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| Name | Role | Address |
|---|---|---|
| ANNWHEELOCK | Registered Agent | 700 NE 87TH AVE, VANCOUVER, WA, 98664, UNITED STATES |
| Name | Role | Address |
|---|---|---|
| SHARON CROWELL MD | Governing Person | 700 NE 87TH AVE, VANCOUVER, WA, 98664, UNITED STATES |
| MATTHEW CASIMO | Governing Person | 700 NE 87TH AVE, VANCOUVER, WA, 98664, UNITED STATES |
| HOWARD GRAMAN | Governing Person | 1115 SE 164TH AVE, VANCOUVER, WA, 98664, UNITED STATES |
| ROBIN VIRGIN | Governing Person | 1115 SE 164TH AVE, VANCOUVER, WA, 98683, UNITED STATES |
| JEREMY CHRISMAN | Governing Person | 700 NE 87TH AVE, VANCOUVER, WA, 98664, UNITED STATES |
| LAWRENCE NEVILLE | Governing Person | 1115 SE 164TH AVE, VANCOUVER, WA, 98664, UNITED STATES |