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COLLABORATIVE CARE, PLLC

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Company Details

Legal Name: COLLABORATIVE CARE, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: April 7th 2025
Expiration date: 30 Apr 2026
UBI Number: 605 834 936
ZIP code: 98125
City: Seattle
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1534 NE 100TH ST, SEATTLE, WA, 98125-7662, UNITED STATES

Contact Details

E-Mail: ANDREWTGROSSMAN@YAHOO.COM

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
ANDREW GROSSMAN Registered Agent 1534 NE 100TH ST, SEATTLE, WA, 98125-7662, UNITED STATES

Key Officers & Management

Name Role Address
ANDREW GROSSMAN Executor 1534 NE 100TH ST, SEATTLE, WA, 98125-7662, UNITED STATES
ANDREW GROSSMAN Governing Person -

National Provider Identifier

NPI Number:
1184419376
Certification Date:
2025-05-14

Authorized Person:

Name:
ANDREW GROSSMAN
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

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