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PETER B. SHELLEY, M.D., P.S.

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Company Details

Legal Name: PETER B. SHELLEY, M.D., P.S.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: December 1st 1981
Date of Dissolution: May 3rd 2022
Expiration date: 31 Dec 2021
UBI Number: 600 421 838
ZIP code: 98023
City: Federal Way
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 29635 20TH PL SW, FEDERAL WAY, WA, 98023-3401, UNITED STATES

Contact Details

E-Mail: PETERSHELLEY44@HOTMAIL.COM

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
THORSON BARNETT & MCDONALD PC Registered Agent 601 UNION ST STE 3315, SEATTLE, WA, 98101-0000, UNITED STATES

Key Officers & Management

Name Role Address
PETER SHELLEY Governing Person 32123 1ST AVE S, FEDERAL WAY, WA, 98003, UNITED STATES

National Provider Identifier

NPI Number:
1184893901

Authorized Person:

Name:
MS. DORIS L WILSON
Role:
OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
261QH0100X - Health Service Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2538742690
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