VALERIE SUTHERLAND, MD, PLLC

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Company Details

Legal Name:	VALERIE SUTHERLAND, MD, PLLC
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category:	DOMESTIC ENTITY
Status:	Delinquent
Formation/ Registration Date:	April 7th 2014
Expiration date:	30 Apr 2025
UBI Number:	603 392 427
ZIP code:	98335
City:	Gig Harbor
County:	PIERCE
Home State:	WASHINGTON
Principal Office Street Address:	5713 WOLLOCHET DR NW, STE 110, GIG HARBOR, WA, 98335-7371, UNITED STATES
Supporting healthcare providers fighting with COVID-19:	$4,624

Contact Details

E-Mail:	VHSSUTHERLAND@GMAIL.COM
Phone Number:	+1 253-387-9857

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name	Role	Address
VALERIE SUTHERLAND	Registered Agent	5713 WOLLOCHET DR NW STE 110, STE 110, GIG HARBOR, WA, 98335-7371, UNITED STATES

Key Officers & Management

Name	Role	Address
VALERIE SUTHERLAND	Governing Person	4448 MEMORY LANE W, UNIVERSITY PLACE, WA, 98466, UNITED STATES

National Provider Identifier

NPI Number:

1730587981

Certification Date:

2022-02-10

Link:

View on NPI website

Authorized Person:

Name:

VALERIE HOPE SLOCUM SUTHERLAND

Role:

OWNER

Phone:

2533879857

Taxonomy:

Selected Taxonomy:

207R00000X - Internal Medicine Physician

Is Primary:

Yes

Contacts:

Phone:

+1 253-319-3339

Fax:

7064164727

Form 5500 Series

Employer Identification Number (EIN):

465335075

Plan Year:

2021

Number Of Participants:

16

Plan Name:

401(K)

Sponsor's telephone number:

2533879857

File:

Plan Year:

2021

Number Of Participants:

5

Plan Name:

CASH BALANCE

Sponsor's telephone number:

2533879857

File:

Plan Year:

2020

Number Of Participants:

5

Plan Name:

CASH BALANCE

Sponsor's telephone number:

2533879857

File:

Plan Year:

2020

Number Of Participants:

17

Plan Name:

401(K)

Sponsor's telephone number:

2533879857

File:

Plan Year:

2019

Number Of Participants:

12

Plan Name:

401(K)

Sponsor's telephone number:

2532921535

File:

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