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R. SKOGLUND, M.D., PLLC

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Company Details

Legal Name: R. SKOGLUND, M.D., PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: December 29th 1995
Date of Dissolution: May 3rd 2019
Expiration date: 31 Dec 2018
UBI Number: 601 679 471
ZIP code: 98004
City: Bellevue
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 2820 110TH AVE SE, BELLEVUE, WA, 98004-7508, UNITED STATES

Contact Details

E-Mail: PSKOGLUNX@HOTMAIL.COM
Phone Number: +1 425-753-7879

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
PAUL SKOGLUND Registered Agent 2820 110TH AVE SE, BELLEVUE, WA, 98004-7508, UNITED STATES

Key Officers & Management

Name Role
PAUL SKOGLUND Governing Person

National Provider Identifier

NPI Number:
1184645046

Authorized Person:

Name:
DR. RODNEY D SKOGLUND
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Fax:
2068249510
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