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EVOLVE MD, PLLC

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Company Details

Legal Name: EVOLVE MD, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Voluntarily Dissolved
Formation/ Registration Date: October 29th 2021
Date of Dissolution: August 17th 2022
Expiration date: 31 Oct 2022
UBI Number: 604 827 529
ZIP code: 98155
City: Seattle
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 19243 FOREST PARK DR NE, LK FOREST PK, WA, 98155-2441, UNITED STATES

Contact Details

E-Mail: JEFFREYCBECK@GMAIL.COM

Nature of Business

Professional, Scientific & Technical Services

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Registered Agent Information

Name Role Address
JEFFREY BECK Registered Agent 19243 FOREST PARK DR NE, LK FOREST PK, WA, 98155-2441, UNITED STATES

Key Officers & Management

Name Role Address
JEFFREY BECK Executor 19243 FOREST PARK DR NE, LK FOREST PK, WA, 98155-2441, UNITED STATES
JEFFREY BECK Governing Person 19243 FOREST PARK DR NE, LK FOREST PK, WA, 98155-2441, UNITED STATES

National Provider Identifier

NPI Number:
1578222592
Certification Date:
2021-12-16

Authorized Person:

Name:
JEFFREY BECK
Role:
PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
261QM1300X - Multi-Specialty Clinic/Center
Is Primary:
Yes

Contacts:

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