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PLATEAU FAMILY MEDICINE, P.S.

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Company Details

Legal Name: PLATEAU FAMILY MEDICINE, P.S.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: November 9th 2004
Date of Dissolution: March 3rd 2014
Expiration date: 30 Nov 2013
UBI Number: 602 444 776
ZIP code: 98022
City: Enumclaw
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1818 COLE ST, ENUMCLAW, WA, 98022, UNITED STATES

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Registered Agent Information

Name Role Address
DEIDRE L FEENEY Registered Agent 853 WATSON ST N STE 200, ENUMCLAW, WA, 98022, UNITED STATES

Key Officers & Management

Name Role Address
REBECCA PEET Governing Person 853 WATSON ST N, STE 200, ENUMCLAW, WA, 98022, UNITED STATES
STACI FLOWERS Governing Person 853 WATSON ST N, STE 200, ENUMCLAW, WA, 98022, UNITED STATES
DEIDRE FEENEY Governing Person 853 WATSON ST N, STE 200, ENUMCLAW, WA, 98022, UNITED STATES

National Provider Identifier

NPI Number:
1033222146

Authorized Person:

Name:
DEIDRE L FEENEY
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
3608259255
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