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UNIVERSITY MENTAL HEALTH NW PLLC

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Company Details

Legal Name: UNIVERSITY MENTAL HEALTH NW PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: March 17th 2022
Expiration date: 31 Mar 2026
UBI Number: 604 889 551
ZIP code: 98107
City: Seattle
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1455 NW LEARY WAY STE 400, SEATTLE, WA, 98107-5138, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 1429 EAST PROSPECT ST., SEATTLE, WA, 98112, UNITED STATES

Contact Details

E-Mail: DRALEXTAN@GMAIL.COM
Phone Number: +1 415-670-0964

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
ALEXANDER TAN Registered Agent 1455 NW LEARY WAY STE 409, SEATTLE, WA, 98107-5138, UNITED STATES

Key Officers & Management

Name Role Address
ALEXANDER TAN Executor 701 N 34TH ST STE 200, SEATTLE, WA, 98103-3460, UNITED STATES
ALEXANDER TAN Governing Person -

National Provider Identifier

NPI Number:
1184367286
Certification Date:
2025-02-02

Authorized Person:

Name:
DR. ALEXANDER TAN
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
2084P0805X - Geriatric Psychiatry Physician
Is Primary:
No
Selected Taxonomy:
261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary:
Yes

Contacts:

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