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Fingerpaint
Most west coast offices are tiny satellites of a larger office out east. Evoke and Pacific Communications have the largest footprints as of 2019 but now talent is really living anywhere so physical office location is more of an idea than an actual thing.
Splice (founders are former Giant senior VPs) just got acquired by Fingerpaint, so I’d say them
GSW!
Mentor
AbbVie/Allergan’s in-house agency is based out west. Pacific Communications.
Evoke?
Intouch Solutions
Giant was probably the biggest SF based agency and is now part of Evoke. Heartbeat is based in LA. Pharma has never had huge west coast agency presences but as others have noted, these days it shouldn’t really matter that much where you are.