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ROBERT QUACKENBUSH, MD PLLC

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Company Details

Legal Name: ROBERT QUACKENBUSH, MD PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: September 15th 2003
Date of Dissolution: January 2nd 2014
Expiration date: 30 Sep 2013
UBI Number: 602 326 464

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Registered Agent Information

Name Role Address
PETER E MOYE Registered Agent 618 W RIVERSIDE STE 300, SPOKANE, WA, 99201, UNITED STATES

Key Officers & Management

Name Role
ROBERT QUACKENBUSH Governing Person

National Provider Identifier

NPI Number:
1043404163

Authorized Person:

Name:
ROBERT C QUACKENBUSH
Role:
MD
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Fax:
5095254878
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