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EASTSIDE ANXIETY PLLC

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Company Details

Legal Name: EASTSIDE ANXIETY PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: July 15th 2022
Date of Dissolution: December 3rd 2023
Expiration date: 31 Jul 2023
UBI Number: 604 946 921
ZIP code: 98004
City: Bellevue
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 2105 112TH AVE NE STE 201, BELLEVUE, WA, 98004-2945, UNITED STATES

Contact Details

E-Mail: INFO@EASTSIDEANXIETY.COM

Nature of Business

Health Care, Social Assistance & Service Organization, Professional, Scientific & Technical Services

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Registered Agent Information

Name Role Address
NANCY WAGNER Registered Agent 2105 112TH AVE NE STE 201, BELLEVUE, WA, 98004-2945, UNITED STATES

Key Officers & Management

Name Role Address
NANCY WAGNER Executor 2105 112TH AVE NE STE 201, BELLEVUE, WA, 98004-2945, UNITED STATES
NANCY WAGNER Governing Person -

National Provider Identifier

NPI Number:
1063145332
Certification Date:
2022-07-05

Authorized Person:

Name:
NANCY WAGNER
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
2084P0800X - Psychiatry Physician
Is Primary:
Yes

Contacts:

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