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PACIFIC SLEEP MEDICINE, A MEDICAL CORPORATION

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Company Details

Legal Name: PACIFIC SLEEP MEDICINE, A MEDICAL CORPORATION
Jurisdiction: WASHINGTON
Entity Type: FOREIGN PROFIT CORPORATION
Category: FOREIGN ENTITY
Status: Terminated
Formation/ Registration Date: April 14th 2008
Date of Dissolution: August 3rd 2009
Expiration date: 30 Apr 2009
UBI Number: 602 823 191
ZIP code: 98027
City: Issaquah
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 2005 NW SAMMAMISH RD, ISSAQUAH, WA, 98027, UNITED STATES

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Registered Agent Information

Name Role Address
CT CORPORATION SYSTEM Registered Agent 505 UNION AVE SE STE 120, OLYMPIA, WA, 98501, UNITED STATES

Key Officers & Management

Name Role Address
STUART MENN Governing Person 5 DOMINION CT, RANCHO MIRAGE, CA, 92270, UNITED STATES
YURY FURMAN Governing Person 104 EAST OLIVE AVE STE 104, REDLANDS, CA, 92373, UNITED STATES
MILTON ERMAN Governing Person 2358 ACHILLES DR, LOS ANGELES, CA, 90046, UNITED STATES

National Provider Identifier

NPI Number:
1134360217

Authorized Person:

Name:
MS. NANCY M JOHNSON
Role:
CREDENTIALING
Phone:

Taxonomy:

Selected Taxonomy:
261QS1200X - Sleep Disorder Diagnostic Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
9094182546
Fax:
2062151135
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