NORTHWEST ORTHOPAEDIC SURGEONS, P.S.

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Company Details

Legal Name:	NORTHWEST ORTHOPAEDIC SURGEONS, P.S.
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL SERVICE CORPORATION
Category:	DOMESTIC ENTITY
Status:	Inactive
Formation/ Registration Date:	January 6th 1995
Expiration date:	31 Jan 2014
UBI Number:	601 596 621

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Registered Agent Information

Name	Role	Address
KENNETH M OATES, MD	Registered Agent	1500 CONTINENTAL PL, MOUNT VERNON, WA, 98273, UNITED STATES

Key Officers & Management

Name	Role	Address
ROBERT GREGG BILLOW	Governing Person	13630 ORCA LANE, ANACORTES, WA, 98221, UNITED STATES
PATRICK MICHAEL LYONS	Governing Person	4039 SHARPE ROAD, ANACORTES, WA, 98221, UNITED STATES
KENNETH OATES	Governing Person	3516 W 3RD, ANACORTES, WA, 98221, UNITED STATES
STACIA ANN SMITH	Governing Person	13905 BAYVIEW ROAD, MOUNT VERNON, WA, 98273, UNITED STATES
KAARSTEN ROBIN LANG	Governing Person	13269 BRIDGEVIEW WAY, MOUNT VERNON, WA, 98273, UNITED STATES
DAVID MICHAEL MOURNING	Governing Person	2009 29TH PLACE, ANACORTES, WA, 98221, UNITED STATES

National Provider Identifier

NPI Number:

1649279852

Link:

View on NPI website

Authorized Person:

Name:

ROBERT G BILLOW

Role:

PRESIDENT

Phone:

3604247041

Taxonomy:

Selected Taxonomy:

261QM1300X - Multi-Specialty Clinic/Center

Is Primary:

Yes

Contacts:

Phone:

+1 360-424-7041

Form 5500 Series

Employer Identification Number (EIN):

911650096

Plan Year:

2013

Number Of Participants:

77

Plan Name:

401(K)

Sponsor's telephone number:

3602025793

File:

Plan Administrator / Signatory:

KATHERINE REINECKE(Plan administrator)

Plan Year:

2012

Number Of Participants:

73

Plan Name:

401(K)

Sponsor's telephone number:

3603954523

File:

Plan Administrator / Signatory:

KATHERINE REINECKE(Plan administrator)

Plan Year:

2011

Number Of Participants:

68

Plan Name:

401(K)

Sponsor's telephone number:

3603954515

File:

Plan Administrator / Signatory:

KATHERINE REINECKE(Plan administrator)

Plan Year:

2010

Number Of Participants:

71

Plan Name:

401(K)

Sponsor's telephone number:

3603954523

File:

Plan Administrator / Signatory:

KATHERINE REINECKE(Plan administrator)

Plan Year:

2009

Number Of Participants:

72

Plan Name:

401(K)

Sponsor's telephone number:

3603954523

File:

Plan Administrator / Signatory:

KATHERINE REINECKE(Plan administrator)

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