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DR. PAUL A. BERGHUIS, INC., P.S.

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Company Details

Legal Name: DR. PAUL A. BERGHUIS, INC., P.S.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: October 10th 2007
Date of Dissolution: March 3rd 2022
Expiration date: 31 Oct 2021
UBI Number: 602 770 564
ZIP code: 98208
City: Everett
County: SNOHOMISH
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 2833 104TH PL SE, EVERETT, WA, 98208, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $242

Contact Details

E-Mail: R.PAROT@COMCAST.NET
Phone Number: +1 425-357-0178

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
SHERRI PAROT Registered Agent 2833 104TH PL SE, EVERETT, WA, 98208-0000, UNITED STATES

Key Officers & Management

Name Role
PAUL BERGHUIS Governing Person
JANE BERGHUIS Governing Person

National Provider Identifier

NPI Number:
1053509968

Authorized Person:

Name:
CHAR MELDAHL
Role:
BILLING AGENT
Phone:

Taxonomy:

Selected Taxonomy:
207LP2900X - Pain Medicine (Anesthesiology) Physician
Is Primary:
No
Selected Taxonomy:
207L00000X - Anesthesiology Physician
Is Primary:
Yes

Contacts:

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