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EASTSIDE DERMATOLOGY, INC., P.S.

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Company Details

Legal Name: EASTSIDE DERMATOLOGY, INC., P.S.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: April 9th 1991
Date of Dissolution: September 3rd 2021
Expiration date: 30 Apr 2021
UBI Number: 601 311 029
ZIP code: 98007
City: Bellevue
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 14030 NE 24TH ST STE 202, BELLEVUE, WA, 98007-3724, UNITED STATES

Contact Details

E-Mail: EDERM98007@HOTMAIL.COM
Phone Number: +1 425-454-1104

Nature of Business

Health Care, Social Assistance & Service Organization

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Key Officers & Management

Name Role Address
JULIE FRANCIS Governing Person 14030 NE 24TH ST, SUITE 202, BELLEVUE, WA, 98007, UNITED STATES
LAURI TADLOCK Governing Person 14030 NE 24TH ST, SUITE 202, BELLEVUE, WA, 98007, UNITED STATES
KATHRYN ERICKSON Governing Person 14030 NE 24TH ST, SUITE 202, BELLEVUE, WA, 98007, UNITED STATES
SHARON KELLY Governing Person 14030 NE 24TH ST, SUITE 202, BELLEVUE, WA, 98007, UNITED STATES

National Provider Identifier

NPI Number:
1649379231

Authorized Person:

Name:
MRS. MELANIE A JENNINGS
Role:
OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
207N00000X - Dermatology Physician
Is Primary:
No
Selected Taxonomy:
207NS0135X - Procedural Dermatology Physician
Is Primary:
No
Selected Taxonomy:
207NP0225X - Pediatric Dermatology Physician
Is Primary:
No

Contacts:

Fax:
4254541290

Form 5500 Series

Employer Identification Number (EIN):
911519999
Plan Year:
2018
Number Of Participants:
12
Sponsor's telephone number:
Plan Administrator / Signatory:
SHARON KELLY(Plan administrator)
Plan Year:
2018
Number Of Participants:
14
Sponsor's telephone number:
Plan Administrator / Signatory:
SHARON KELLY(Plan administrator)
Plan Year:
2017
Number Of Participants:
11
Sponsor's telephone number:
Plan Administrator / Signatory:
SHARON KELLY(Plan administrator)
Plan Year:
2016
Number Of Participants:
12
Sponsor's telephone number:
Plan Administrator / Signatory:
SHARON KELLY(Plan administrator)
Plan Year:
2015
Number Of Participants:
13
Sponsor's telephone number:
Plan Administrator / Signatory:
SHARON KELLY(Plan administrator)
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