DERICKS FAMILY MEDICINE PLLC
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| Legal Name: | DERICKS FAMILY MEDICINE PLLC |
| Jurisdiction: | WASHINGTON |
| Entity Type: | WA PROFESSIONAL LIMITED LIABILITY COMPANY |
| Category: | DOMESTIC ENTITY |
| Status: | Active |
| Formation/ Registration Date: | May 4th 2016 |
| Expiration date: | 31 May 2026 |
| UBI Number: | 603 619 355 |
| ZIP code: | 98117 |
| City: | Seattle |
| County: | KING |
| Home State: | WASHINGTON |
| Principal Office Street Address: |
1409 NW 85TH ST, SEATTLE, WA, 98117-4237, UNITED STATES
|
| Principal Office Mailing Address: |
611 CREEKSIDE LN, SANDPOINT, ID, 83864-2325, UNITED STATES
|
| E-Mail: |
DRBEEBEDERICKS@GMAIL.COM |
| Phone Number: |
+1 970-331-2583 |
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| Name | Role | Address |
|---|---|---|
| DIANA DERICKS | Registered Agent | 5414 BARNES AVE NW, SEATTLE, WA, 98107-3839, UNITED STATES |
| Name | Role | Address |
|---|---|---|
| DIANA DERICKS | Governing Person | - |
| DIANA DERICKS | EXECUTOR | 505 BELMONT AVE E APT 502, SEATTLE, WA, 98102, UNITED STATES |