PACIFIC NORTHWEST RETINA, PLLC
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| Legal Name: | PACIFIC NORTHWEST RETINA, PLLC |
| Jurisdiction: | WASHINGTON |
| Entity Type: | WA PROFESSIONAL LIMITED LIABILITY COMPANY |
| Category: | DOMESTIC ENTITY |
| Status: | Active |
| Formation/ Registration Date: | November 4th 2020 |
| Expiration date: | 30 Nov 2025 |
| UBI Number: | 604 668 624 |
| ZIP code: | 98004 |
| City: | Bellevue |
| County: | KING |
| Home State: | WASHINGTON |
| Principal Office Street Address: |
1750 112TH AVE NE, STE D050, BELLEVUE, WA, 98004-3779, UNITED STATES
|
| E-Mail: |
CLS-CTARMSEVIDENCE@WOLTERSKLUWER.COM |
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| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Registered Agent |
| Name | Role | Address |
|---|---|---|
| TODD R. KLESERT M.D. | Governing Person | - |
| DAVID A. SAPERSTEIN M.D. | Governing Person | - |
| A. SAMUEL BARLOON M.D. | Governing Person | - |
| CHARLES D. BIRNBACH M.D. | Governing Person | - |
| YICHENG CHEN M.D. | Governing Person | - |
| CINDY W. MI M.D. | Governing Person | - |
| ROBERT W. NASH M.D. | Governing Person | - |
| ROBERT R. FRANCIS M.D. | Governing Person | - |
| STEVE H. KIM M.D. | Governing Person | - |
| DAVID SAPERSTEIN, M.D. | EXECUTOR | 1750 112TH AVE NE STE D050, BELLEVUE, WA, 98004-3779, UNITED STATES |