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PACIFIC CLINIC, PLLC

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Company Details

Legal Name: PACIFIC CLINIC, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: September 16th 2024
Expiration date: 30 Sep 2025
UBI Number: 605 608 965
ZIP code: 98004
City: Bellevue
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1600 116TH AVE NE STE 104, BELLEVUE, WA, 98004-3055, UNITED STATES

Contact Details

E-Mail: RA@ANDERSONADVISORS.COM
Phone Number: +1 800-706-4741

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
ANDERSON REGISTERED AGENTS, INC. Registered Agent 732 BROADWAY STE 201, TACOMA, WA, 98402-3702, UNITED STATES

Key Officers & Management

Name Role Address
ADRIANA NICOLE ROSALES Executor 1600 116TH AVE NE STE 104, BELLEVUE, WA, 98004-3055, UNITED STATES
AMIT GROVER Executor 600 116TH AVE NE STE 104, BELLEVUE, WA, 98004-5206, UNITED STATES
ADRIANA NICOLE ROSALES Governing Person -
AMIT GROVER Governing Person -

National Provider Identifier

NPI Number:
1669291100
Certification Date:
2024-10-09

Authorized Person:

Name:
DR. AMIT GROVER
Role:
CO-OWNER, PHYSICIAN
Phone:

Taxonomy:

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

Contacts:

Fax:
4254495944
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