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LAKE WASHINGTON PRIMARY CARE, PLLC

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Company Details

Legal Name: LAKE WASHINGTON PRIMARY CARE, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: January 6th 2014
Date of Dissolution: June 3rd 2023
Expiration date: 31 Jan 2023
UBI Number: 603 364 315
ZIP code: 98136
City: Seattle
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 7320 44TH AVE SW, SEATTLE, WA, 98136-2033, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $1,306

Contact Details

E-Mail: TREBORG95@MSN.COM
Phone Number: +1 206-498-9623

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
LAKE WASHINGTON PRIMARY CARE, PLLC Registered Agent 7320 44TH AVE SW, SEATTLE, WA, 98136-2033, UNITED STATES

Key Officers & Management

Name Role Address
ROBERT GOODE Governing Person 7320 44TH AVE SW, SEATTLE, WA, 98136, UNITED STATES

National Provider Identifier

NPI Number:
1902309313

Authorized Person:

Name:
DR. ROBERT GOODE
Role:
PHYSICIAN/OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
8777711013
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