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GOOD SAMARITAN OUTREACH SERVICES

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Company Details

Legal Name: GOOD SAMARITAN OUTREACH SERVICES
Jurisdiction: WASHINGTON
Entity Type: WA NONPROFIT CORPORATION
Category: DOMESTIC ENTITY
Status: Inactive
Formation/ Registration Date: April 6th 1983
Date of Dissolution: July 1st 2011
Expiration date: 30 Apr 2011
UBI Number: 601 004 069
ZIP code: 98372
City: Puyallup
County: PIERCE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 407 14TH AVE SE, PUYALLUP, WA, 98372, UNITED STATES

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Registered Agent Information

Name Role Address
ERIKRASMUSSEN Registered Agent 222 N J ST STE B, TACOMA, WA, 98403, UNITED STATES

Key Officers & Management

Name Role Address
LINDA GUTMANN Governing Person 108 ROSE PLACE, PUYALLUP, WA, 98371, UNITED STATES
MICHAEL NELSON Governing Person 15713 136TH CR E, PUYALLUP, WA, 98374, UNITED STATES
L. DALE SOWELL Governing Person 1217 SUNSET DR S, TACOMA, WA, 98465, UNITED STATES
DIANE CECCHETTINI Governing Person 315 S MLK JR. WAY, TACOMA, WA, 98405, UNITED STATES
MARCUS GASPARD Governing Person 203 5TH AVE NW, PUYALLUP, WA, 98371, UNITED STATES
BISHOP DAVID WOLD Governing Person 1506 136TH ST CT S, TACOMA, WA, 98444, UNITED STATES
JOHN FOSOM Governing Person 14 COUNTRY CLUB DR SW, LAKEWOOD, WA, 98498, UNITED STATES
BRUCE DAMMEIER Governing Person 2803 41ST ST. SE, PUYALLUP, WA, 98374, UNITED STATES
FREDERIC JOHNSTONE, MD Governing Person 3801 5TH ST SE, SUITE 110, PUYALLUP, WA, 98374, UNITED STATES
GREG GUSTAFSON Governing Person 437 29TH ST NE, SUITE G, PUYALLUP, WA, 98371, UNITED STATES

National Provider Identifier

NPI Number:
1376683946
Link:
View on NPI website

Authorized Person:

Name:
RONALD J LEWIS
Role:
VICE PRESIDENT
Phone:
2536978500

Taxonomy:

Selected Taxonomy:
261QM1300X - Multi-Specialty Clinic/Center
Is Primary:
Yes

Contacts:

Phone:
+1 253-697-8548
Fax:
2536978598
Phone:
+1 253-697-5200

Related by address

407 14TH AVE SE, PUYALLUP, WA, 98372, UNITED STATES

GOOD SAMARITAN HOSPITAL
WA NONPROFIT CORPORATION - Inactive
GOOD SAMARITAN SUPPORT ORGANIZATION
WA NONPROFIT CORPORATION - Inactive
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