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AUBURN ANESTHESIA ASSOCIATES, INC., P.S.

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Company Details

Legal Name: AUBURN ANESTHESIA ASSOCIATES, INC., P.S.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: May 27th 1987
Date of Dissolution: October 18th 2016
Expiration date: 31 May 2016
UBI Number: 601 027 348

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Registered Agent Information

Name Role Address
FULLAWAY LAMPHEAR & SAUVE PLLC Registered Agent 5501 PACIFIC HWY E STE 1, FIFE, WA, 98424-2526, UNITED STATES

Key Officers & Management

Name Role Address
JEREMY KATZ Governing Person 5401 SW BEACH DR TERRACE, SEATTLE, WA, 98116, UNITED STATES
JON RICHARDS Governing Person 32553 181ST AVE SE, AUBURN, WA, 98092, UNITED STATES
GOHAR KHACHATRYAN Governing Person 5307 4TH AVE S #106, SEATTLE, WA, 98108, UNITED STATES
TINH LAM Governing Person 3303 204TH AVE CT E, LAKE TAPPS, WA, 98391, UNITED STATES

National Provider Identifier

NPI Number:
1861448821

Authorized Person:

Name:
JON RICHARDS
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207L00000X - Anesthesiology Physician
Is Primary:
Yes

Contacts:

Fax:
4253538041

Form 5500 Series

Employer Identification Number (EIN):
911357544
Plan Year:
2012
Number Of Participants:
6
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
JEREMY KATZ(Plan administrator)
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