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NORTHWEST AMBULATORY SURGERY CENTER, LLC

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Company Details

Legal Name: NORTHWEST AMBULATORY SURGERY CENTER, LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: December 4th 2002
Date of Dissolution: April 1st 2013
Expiration date: 31 Dec 2012
UBI Number: 602 251 776

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Registered Agent Information

Name Role Address
GORDON NISHINOTO Registered Agent 1920 100TH ST SE STE A-1, EVERETT, WA, 98208, UNITED STATES

Key Officers & Management

Name Role
GORDON NISHIMOTO Governing Person

National Provider Identifier

NPI Number:
1538260534

Authorized Person:

Name:
DR. GORDON S NISHIMOTO
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
261QP1100X - Podiatric Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
4253166881
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