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EVERGREEN DERMATOPATHOLOGY PLLC

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Company Details

Legal Name: EVERGREEN DERMATOPATHOLOGY PLLC
Jurisdiction: WASHINGTON
Entity Type: FOREIGN PROFESSIONAL LIMITED LIABILITY COMPANY
Category: FOREIGN ENTITY
Status: Active
Formation/ Registration Date: April 3rd 2023
Expiration date: 30 Apr 2026
UBI Number: 605 178 126
ZIP code: 99019
City: Liberty Lake
County: SPOKANE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 2110 N MOLTER RD STE 112, LIBERTY LAKE, WA, 99019, UNITED STATES

Contact Details

E-Mail: STEVE@EVERGREENDERMPATH.COM

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
ASHLEY HAMSTRA Registered Agent 2110 N MOLTER RD STE 112, LIBERTY LAKE, WA, 99019, UNITED STATES

Key Officers & Management

Name Role
ASHLEY HAMSTRA Governing Person
ALDEN WEBB Governing Person

National Provider Identifier

NPI Number:
1700581170
Certification Date:
2023-03-30

Authorized Person:

Name:
ASHLEY ANNE HAMSTRA
Role:
PRACTICE OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207ZD0900X - Dermatopathology (Pathology) Physician
Is Primary:
Yes

Contacts:

Fax:
2082779704

Form 5500 Series

Employer Identification Number (EIN):
922959598
Plan Year:
2023
Number Of Participants:
0
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
CHRIS HORNE(Plan administrator)
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