CASCADE CANCER CENTERS OF WASHINGTON, PLLC

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Company Details

Legal Name:	CASCADE CANCER CENTERS OF WASHINGTON, PLLC
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category:	DOMESTIC ENTITY
Status:	Administratively Dissolved
Formation/ Registration Date:	April 7th 1998
Date of Dissolution:	December 11th 2015
Expiration date:	30 Apr 2016
UBI Number:	601 867 273

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Registered Agent Information

Name	Role	Address
MICHELLE B FRANK	Registered Agent	14020 237TH PL NE, WOODINVILLE, WA, 98077, UNITED STATES

Key Officers & Management

Name	Role	Address
CAROL VANHAELST	Governing Person	15627 NE 173RD ST NE, WOODINVILLE, WA, 98072, UNITED STATES
TIMOTHY CARLOS	Governing Person	13158 HOLMES PT DR NE, KIRKLAND, WA, 98034, UNITED STATES
AIMEE KOHN	Governing Person	18602 NE 137TH CT, WOODINVILLE, WA, 98072, UNITED STATES
MICHELLE FRANK	Governing Person	14020 237TH PL NE, WOODINVILLE, WA, 98077, UNITED STATES
JANE GOLDEN	Governing Person	4035 NE 135TH ST, SEATTLE, WA, 98125, UNITED STATES
MATTHEW LONERGAN	Governing Person	11807 HOLMES PT DR NE, KIRKLAND, WA, 98034, UNITED STATES

National Provider Identifier

NPI Number:

1477508208

Link:

View on NPI website

Authorized Person:

Name:

CAROL VANHAELST

Role:

MD

Phone:

4258993181

Taxonomy:

Selected Taxonomy:

174400000X - Specialist

Is Primary:

Yes

Contacts:

Phone:

+1 425-899-3181

Fax:

4258993189

Form 5500 Series

Employer Identification Number (EIN):

911901133

Plan Year:

2012

Number Of Participants:

48

Plan Name:

RETIREMENT PLAN

Sponsor's telephone number:

2067792717

File:

Plan Administrator / Signatory:

CAROL M. VANHAELST(Plan administrator)

Plan Year:

2012

Number Of Participants:

46

Plan Name:

RETIREMENT PLAN

Sponsor's telephone number:

2067792717

File:

Plan Administrator / Signatory:

CAROL M. VANHAELST(Plan administrator)

Plan Year:

2011

Number Of Participants:

48

Plan Name:

RETIREMENT PLAN

Sponsor's telephone number:

2067792717

File:

Plan Administrator / Signatory:

CAROL M. VANHAELST(Plan administrator)

Plan Year:

2010

Number Of Participants:

45

Plan Name:

RETIREMENT PLAN

Sponsor's telephone number:

2067792717

File:

Plan Administrator / Signatory:

CAROL M. VANHAELST(Plan administrator)

Plan Year:

2009

Number Of Participants:

43

Plan Name:

RETIREMENT PLAN

Sponsor's telephone number:

2067792717

File:

Plan Administrator / Signatory:

CAROL M. VANHAELST(Plan administrator)

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