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VANCOUVER ALLERGY & ASTHMA CENTER, PLLC

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Company Details

Legal Name: VANCOUVER ALLERGY & ASTHMA CENTER, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: May 7th 2004
Date of Dissolution: October 2nd 2017
Expiration date: 31 May 2017
UBI Number: 602 393 249
ZIP code: 98660
City: Vancouver
County: CLARK
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 915 BROADWAY, VANCOUVER, WA, 98660, UNITED STATES

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Registered Agent Information

Name Role Address
WILLIAM C DUDLEY Registered Agent LANDERHOLM, P.S., 805 BROADWAY ST STE 1000, VANCOUVER, WA, 98660-3343, UNITED STATES

Key Officers & Management

Name Role Address
LAURA DAVIS Governing Person 1714 SE HALYARD LANE, VANCOUVER, WA, 98661, UNITED STATES

National Provider Identifier

NPI Number:
1871770594

Authorized Person:

Name:
LAURA J DAVIS
Role:
PRESIDENT/OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261Q00000X - Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
3607373713
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