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NORTHWEST EYELID AND ORBITAL SPECIALISTS, P.S.

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Company Details

Legal Name: NORTHWEST EYELID AND ORBITAL SPECIALISTS, P.S.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: February 19th 2010
Expiration date: 28 Feb 2026
UBI Number: 602 995 207
ZIP code: 99202
City: Spokane
County: SPOKANE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 626 S SHERIDAN ST, SPOKANE, WA, 99202, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $97,267

Contact Details

E-Mail: JPOWERS@NORTHWESTEYELID.COM
Phone Number: +1 509-279-2176

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
JAMI POWERS Registered Agent 626 S SHERIDAN ST, SPOKANE, WA, 99202-0000, UNITED STATES

Key Officers & Management

Name Role
KEVIN MICHELS MD Governing Person
TALMAGE BROADBENT Governing Person

National Provider Identifier

NPI Number:
1871929646

Authorized Person:

Name:
KEVIN SCOTT MICHELS
Role:
PRESIDENT/OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QA1903X - Ambulatory Surgical Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
5092792941
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