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NORTHWEST PEDIATRIC HEART SPECIALISTS, P.L.L.C.

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Company Details

Legal Name: NORTHWEST PEDIATRIC HEART SPECIALISTS, P.L.L.C.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: January 26th 2000
Date of Dissolution: November 28th 2012
Expiration date: 31 Jan 2013
UBI Number: 602 008 882

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Registered Agent Information

Name Role Address
DONALDTRIPPEL Registered Agent 1901 S CEDAR ST #103, TACOMA, WA, 98405, UNITED STATES

Key Officers & Management

Name Role Address
ROBERTA STEPHENSON Governing Person 1901 SOUTH CEDAR STREET, SUITE 103, TACOMA, WA, 98405, UNITED STATES
DONALD TRIPPEL Governing Person 1901 SOUTH CEDAR STREET, SUITE 103, TACOMA, WA, 98405, UNITED STATES

National Provider Identifier

NPI Number:
1730240599

Authorized Person:

Name:
DR. DONALD L TRIPPEL
Role:
MANAGING PARTNER
Phone:

Taxonomy:

Selected Taxonomy:
2080P0202X - Pediatric Cardiology Physician
Is Primary:
Yes

Contacts:

Fax:
2536821455
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