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NORTHWEST GASTROENTEROLOGY ASSOCIATES, INC., P.S.

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Company Details

Legal Name: NORTHWEST GASTROENTEROLOGY ASSOCIATES, INC., P.S.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: December 30th 1994
Expiration date: 31 Dec 2025
UBI Number: 601 595 191
ZIP code: 98004
City: Bellevue
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1135 116TH AVE NE, SUITE 560, BELLEVUE, WA, 98004, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 3209 S 23RD ST STE 200, TACOMA, WA, 98405-1602, UNITED STATES

Contact Details

E-Mail: MATORT@WASHGI.COM
Phone Number: +1 253-503-2561

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
NICK GORALSKY Registered Agent 3209 S 23RD ST STE 200, TACOMA, WA, 98405, UNITED STATES

Key Officers & Management

Name Role
EDWIN LAI Governing Person
ROANNE R E SELINGER Governing Person
VENKATCHALA MOHAN Governing Person
ROBERT WOHLMAN Governing Person

National Provider Identifier

NPI Number:
1770645053

Authorized Person:

Name:
ROBERT A WOHLMAN
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
291U00000X - Clinical Medical Laboratory
Is Primary:
No
Selected Taxonomy:
207RG0100X - Gastroenterology Physician
Is Primary:
Yes

Contacts:

Fax:
4254628021
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