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TAHOMA ANESTHESIOLOGY CONSULTANTS, P.S.

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Company Details

Legal Name: TAHOMA ANESTHESIOLOGY CONSULTANTS, P.S.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: May 27th 1993
Date of Dissolution: November 17th 2011
Expiration date: 31 May 2012
UBI Number: 601 468 712

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Registered Agent Information

Name Role Address
KEVIN SPENCE Registered Agent 3900 CAPITALL MALL DR SW, OLYMPIA, WA, 98502, UNITED STATES

Key Officers & Management

Name Role
MARK SMITH Governing Person
KEVIN SPENCE Governing Person

National Provider Identifier

NPI Number:
1699723023

Authorized Person:

Name:
TIMOTHY M PHILLIPS
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207L00000X - Anesthesiology Physician
Is Primary:
Yes

Contacts:

Fax:
5033722754
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