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EDMONDS FAMILY MEDICINE CLINIC, P.S.

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Company Details

Legal Name: EDMONDS FAMILY MEDICINE CLINIC, P.S.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Voluntarily Dissolved
Formation/ Registration Date: July 29th 1977
Date of Dissolution: October 13th 2021
Expiration date: 31 Jul 2022
UBI Number: 600 245 337
ZIP code: 98026
City: Edmonds
County: SNOHOMISH
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 7315 212TH ST SW STE 101, EDMONDS, WA, 98026, UNITED STATES

Contact Details

E-Mail: MARCY@SHIMADA.US
Phone Number: +1 425-508-3594

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
GINGER BLAKENEY MD Registered Agent 7315 212TH ST SW STE 101, EDMONDS, WA, 98026-7610, UNITED STATES

Key Officers & Management

Name Role Address
GINGER BLAKENEY Governing Person 7315 212TH ST SW, STE 101, EDMONDS, WA, 98026, UNITED STATES
ANDREW THURMAN MD Governing Person 7315 212TH ST SW STE 101, EDMONDS, WA, 98026, UNITED STATES
JAE SIM Governing Person 7315 212TH ST SW, STE 101, EDMONDS, WA, 98026, UNITED STATES

National Provider Identifier

NPI Number:
1255736104

Authorized Person:

Name:
MS. MARCY SHIMADA
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
207V00000X - Obstetrics & Gynecology Physician
Is Primary:
No
Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
4256703554

Trademarks

Serial Number:
85131630
Mark:
EFM EDMONDS FAMILY MEDICINE
Status:
Registration cancelled because registrant did not file an acceptable d...
Mark Type:
Service Mark
Application Filing Date:
2010-09-16
Mark Drawing Type:
3 - AN ILLUSTRATION DRAWING WHICH INCLUDES WORD(S)/ LETTER(S) /NUMBER(S)
Mark Literal Elements:
EFM EDMONDS FAMILY MEDICINE

Goods And Services

For:
Medical services
First Use:
2010-07-31
International Classes:
044 - Primary Class
Class Status:
SECTION 8 - CANCELLED
Serial Number:
85131585
Mark:
EMPOWERING PEOPLE TO LEAD HEALTHIER LIVES
Status:
Registration cancelled because registrant did not file an acceptable d...
Mark Type:
Service Mark
Application Filing Date:
2010-09-16
Mark Drawing Type:
4 - STANDARD CHARACTER MARK
Mark Literal Elements:
EMPOWERING PEOPLE TO LEAD HEALTHIER LIVES

Goods And Services

For:
Medical services
First Use:
2005-01-31
International Classes:
044 - Primary Class
Class Status:
SECTION 8 - CANCELLED
Serial Number:
85131536
Mark:
BEING WELL. WELL BEING.
Status:
Registration cancelled because registrant did not file an acceptable d...
Mark Type:
Service Mark
Application Filing Date:
2010-09-16
Mark Drawing Type:
4 - STANDARD CHARACTER MARK
Mark Literal Elements:
BEING WELL. WELL BEING.

Goods And Services

For:
Medical services
First Use:
2009-09-30
International Classes:
044 - Primary Class
Class Status:
SECTION 8 - CANCELLED
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