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EASTSIDE RHEUMATOLOGY, PLLC

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Company Details

Legal Name: EASTSIDE RHEUMATOLOGY, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: January 10th 2023
Expiration date: 31 Jan 2026
UBI Number: 605 017 414
ZIP code: 98004
City: Bellevue
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1380 112TH AVE NE STE 202, BELLEVUE, WA, 98004-3759, UNITED STATES

Contact Details

E-Mail: VIENXU89@YAHOO.COM

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
MINHCHAU HOANG Registered Agent 1380 112TH AVE NE STE 202, BELLEVUE, WA, 98004-3759, UNITED STATES

Key Officers & Management

Name Role Address
KENT THIEN TA Executor 16404 14TH DR SE, MILL CREEK, WA, 98012-8402, UNITED STATES
KENT THIEN TA Governing Person -

National Provider Identifier

NPI Number:
1578241139
Certification Date:
2023-07-05

Authorized Person:

Name:
KENT T TA
Role:
PHYSICIAN/OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207RR0500X - Rheumatology Physician
Is Primary:
Yes

Contacts:

Fax:
4255909574
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