PHYSICIAN ALLIANCE MEDICAL FOUNDATION
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| Legal Name: | PHYSICIAN ALLIANCE MEDICAL FOUNDATION |
| Jurisdiction: | WASHINGTON |
| Entity Type: | WA NONPROFIT CORPORATION |
| Category: | DOMESTIC ENTITY |
| Status: | Administratively Dissolved |
| Formation/ Registration Date: | November 9th 1998 |
| Date of Dissolution: | March 1st 2013 |
| Expiration date: | 30 Nov 2012 |
| UBI Number: | 601 912 387 |
| ZIP code: | 98632 |
| City: | Longview |
| County: | COWLITZ |
| Home State: | WASHINGTON |
| Principal Office Street Address: |
1706 WASHINGTON WAY, LONGVIEW, WA, 98632, UNITED STATES
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| Name | Role | Address |
|---|---|---|
| STEVEN TROTTER | Registered Agent | 1706 WASHINGTON WAY, LONGVIEW, WA, 98632, UNITED STATES |
| Name | Role | Address |
|---|---|---|
| REBECCA BECKER | Governing Person | 2715 FIR ST, LONGVIEW, WA, 98632, UNITED STATES |
| BLAINE TOLBY | Governing Person | 971 11TH AVE, LONGVIEW, WA, 98632, UNITED STATES |
| ARIS GREDZENS | Governing Person | 790 14TH AVE, LONGVIEW, WA, 98632, UNITED STATES |
| RICHARD KIRKPATRICK | Governing Person | 2609 CASCADE WAY, LONGVIEW, WA, 98632, UNITED STATES |