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NORTHWEST CANCER CARE ASSOCIATES, P.C.

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Company Details

Legal Name: NORTHWEST CANCER CARE ASSOCIATES, P.C.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: May 13th 2014
Expiration date: 31 May 2026
UBI Number: 603 403 286
ZIP code: 98052
City: Redmond
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 8350 164TH AVE NE, REDMOND, WA, 98052-3813, UNITED STATES
Principal Office Mailing Address: Google Maps Logo PO BOX 2633, REDMOND, WA, 98073-2633, UNITED STATES

Contact Details

E-Mail: ED@CLARKRAYMOND.CPA

Nature of Business

Any Lawful Purpose, HEALTHCARE SERVICE PROVIDER

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Registered Agent Information

Name Role
D. EDSON CLARK, CPA, PLLC Registered Agent

Key Officers & Management

Name Role
JASON KEHRER Governing Person
KEVIN SANDERS Governing Person
SURAJ SINGH Governing Person
DAVID GREENE Governing Person

U.S. Small Business Administration Profile

Phone Number:
E-mail Address:
Contact Person:
KEVIN SANDERS
Last Update Date:
2025-01-30
Naics Primary:
621111

Self-Certification:

For Profit Organization

Unique Entity ID

Unique Entity ID:
CYTLH9NBPMS4
CAGE Code:
83BF0
UEI Expiration Date:
2026-01-27

Business Information

Activation Date:
2025-01-30
Initial Registration Date:
2018-03-29

National Provider Identifier

NPI Number:
1164810545
Certification Date:
2024-04-26

Authorized Person:

Name:
MELISSA SCHROADER
Role:
CREDENTIALING SPECIALIST
Phone:

Taxonomy:

Selected Taxonomy:
2085R0001X - Radiation Oncology Physician
Is Primary:
Yes

Contacts:

Fax:
5099871808
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