Search icon

INTEGRATED FAMILY MEDICINE PLLC

Company claim

Is this your business?

Get access!

Company Details

Legal Name: INTEGRATED FAMILY MEDICINE PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: January 24th 2013
Date of Dissolution: June 3rd 2023
Expiration date: 31 Jan 2023
UBI Number: 603 069 724
ZIP code: 98125
City: Seattle
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 3028 NE 103RD ST, SEATTLE, WA, 98125-7717, UNITED STATES

Contact Details

E-Mail: AURUMSAGE@GMAIL.COM
Phone Number: +1 425-905-3050

Nature of Business

Health Care, Social Assistance & Service Organization

Reviews Leave a review

Be the first to leave a review!

Registered Agent Information

Name Role Address
LESLIE CONNER Registered Agent 3028 NE 103RD ST, SEATTLE, WA, 98125-7717, UNITED STATES

Key Officers & Management

Name Role Address
LESLIE CONNER Governing Person 6703 272ND ST NE, ARLINGTON, WA, 98223-8623, UNITED STATES
LESLIE CONNER EXECUTOR 3028 NE 103RD ST, SEATTLE, WA, 98125, UNITED STATES

National Provider Identifier

NPI Number:
1649402942

Authorized Person:

Name:
TRACI MICHELLE MANCUSO
Role:
FAMILY NURSE PRACTITIONER
Phone:

Taxonomy:

Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
2539841079
See something incorrect or outdated? Let us know