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EASTSIDE INTEGRATIVE MEDICINE, PLLC

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Company Details

Legal Name: EASTSIDE INTEGRATIVE MEDICINE, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: October 29th 2020
Expiration date: 31 Oct 2025
UBI Number: 604 662 579
ZIP code: 98012
City: Bothell
County: SNOHOMISH
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 3922 148TH ST SE STE 203, BOTHELL, WA, 98012-4752, UNITED STATES

Contact Details

E-Mail: JJWALLEM49@GMAIL.COM
Phone Number: +1 425-225-5310

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
JENNIFER WALTERS Registered Agent 23111 105TH ST SE, MONROE, WA, 98272-7908, UNITED STATES

Key Officers & Management

Name Role Address
JENNIFER WALTERS Executor 144 CHARLES ST, MONROE, WA, 98272-2303, UNITED STATES
JENNIFER WALTERS Governing Person 144 CHARLES ST, MONROE, WA, 98272-2303, UNITED STATES

National Provider Identifier

NPI Number:
1093316614
Certification Date:
2024-12-27

Authorized Person:

Name:
DR. JENNIFER J WALTERS
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
175F00000X - Naturopath
Is Primary:
Yes

Contacts:

Fax:
8337831742
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