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RICHMOND INTERNAL MEDICINE, P.S.

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Company Details

Legal Name: RICHMOND INTERNAL MEDICINE, P.S.
Jurisdiction: WASHINGTON
Entity Type: WA NONPROFIT PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: March 16th 2006
Date of Dissolution: June 25th 2012
Expiration date: 31 Mar 2013
UBI Number: 602 594 542
ZIP code: 98177
City: Seattle
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 355 NW RICHMOND BEACH RD, SEATTLE, WA, 98177, UNITED STATES

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Key Officers & Management

Name Role Address
LYNN REILLY, M.D. Governing Person 355 NW RICHMOND BEACH ROAD, SEATTLE, WA, 98177, UNITED STATES
GREGORY SCHROEDL, M.D. Governing Person 1550 N 115TH ST, SEATTLE, WA, 98133, UNITED STATES
DAVID JACKSON, M.D. Governing Person -
KATHRYN ZUFALL-LARSON, M.D. Governing Person -
JOEL HAGEDORN, M.D. Governing Person 355 NW RICHMOND BEACH ROAD, SEATTLE, WA, 98177, UNITED STATES
ROBERT SAUNDERS, M.D. Governing Person 1536 N 115TH ST STE 125, SEATTLE, WA, 98133, UNITED STATES

National Provider Identifier

NPI Number:
1932159407

Authorized Person:

Name:
DR. DAVID B JACKSON
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
2065466575
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