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FOOTHILLS INTERNAL MEDICINE PLLC

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Company Details

Legal Name: FOOTHILLS INTERNAL MEDICINE PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: July 15th 2010
Date of Dissolution: December 3rd 2021
Expiration date: 31 Jul 2021
UBI Number: 603 032 697
ZIP code: 98022
City: Enumclaw
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 2820 GRIFFIN AVE STE 204, ENUMCLAW, WA, 98022-2373, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $3,714

Contact Details

E-Mail: JANE.HOUTZ@COMCAST.NET
Phone Number: +1 360-825-8900

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
JANE HOUTZ MD Registered Agent 2820 GRIFFIN AVE #204, ENUMCLAW, WA, 98022-0000, UNITED STATES

Key Officers & Management

Name Role Address
JANE HOUTZ MD Governing Person 2820 GRIFFIN AVE #204, ENUMCLAW, WA, 98022, UNITED STATES

National Provider Identifier

NPI Number:
1235443334

Authorized Person:

Name:
JANE MARIE HOUTZ
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
Yes

Contacts:

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