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GRACE ANNE MARTIN, PLLC

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Company Details

Legal Name: GRACE ANNE MARTIN, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: January 14th 2022
Expiration date: 31 Jan 2026
UBI Number: 604 862 819
ZIP code: 98103
City: Seattle
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 3417 EVANSTON AVE N, SUITE 419, SEATTLE, WA, 98103-8969, UNITED STATES

Contact Details

E-Mail: GRACE.MARTIN.PSYCH@GMAIL.COM
Phone Number: +1 509-670-3819

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
GRACE MARTIN Registered Agent 3417 EVANSTON AVE N, SUITE 419, SEATTLE, WA, 98103-8969, UNITED STATES

Key Officers & Management

Name Role Address
GRACE MARTIN Executor 75 E LYNN ST APT 202, SEATTLE, WA, 98102-3403, UNITED STATES
GRACE MARTIN Governing Person 75 E LYNN ST, SEATTLE, WA, 98102-3403, UNITED STATES

National Provider Identifier

NPI Number:
1093512568
Certification Date:
2025-06-06

Authorized Person:

Name:
DR. GRACE ANNE MARTIN
Role:
ARNP
Phone:

Taxonomy:

Selected Taxonomy:
363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary:
Yes

Contacts:

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