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NORTH SPOKANE PULMONARY CLINIC, P.S.

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Company Details

Legal Name: NORTH SPOKANE PULMONARY CLINIC, P.S.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Inactive
Formation/ Registration Date: November 14th 2003
Date of Dissolution: March 1st 2012
Expiration date: 30 Nov 2011
UBI Number: 602 344 450

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Registered Agent Information

Name Role Address
TERESA A SHERMAN Registered Agent 1212 N WASHINGTON #210, SPOKANE, WA, 99201, UNITED STATES

Key Officers & Management

Name Role Address
TODD GREEN Governing Person 22310 N PERRY RD, COLBERT, WA, 99005, UNITED STATES

National Provider Identifier

NPI Number:
1124136692

Authorized Person:

Name:
CARMEN D GREEN
Role:
OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
207RP1001X - Pulmonary Disease Physician
Is Primary:
Yes

Contacts:

Fax:
5094680705
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