NORTHWEST PAIN RELIEF CENTERS PLLC

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Company Details

Legal Name:	NORTHWEST PAIN RELIEF CENTERS PLLC
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category:	DOMESTIC ENTITY
Status:	Voluntarily Dissolved
Formation/ Registration Date:	March 19th 2015
Date of Dissolution:	January 18th 2019
Expiration date:	31 Mar 2019
UBI Number:	603 489 056
ZIP code:	98311
City:	Bremerton
County:	KITSAP
Home State:	WASHINGTON
Principal Office Street Address:	5050 STATE HWY 303 #A101, BREMERTON, WA, 98311, UNITED STATES

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Registered Agent Information

Name	Role	Address
KYLE BERGQUIST	Registered Agent	7424 BRIDGEPORT WAY W STE 305, LAKEWOOD, WA, 98499-8135, UNITED STATES

Key Officers & Management

Name	Role
NANCY MIGGINS	Governing Person
LARRY MIGGINS	Governing Person
KYLE BERGQUIST	Governing Person

National Provider Identifier

NPI Number:

1750731832

Link:

View on NPI website

Authorized Person:

Name:

KYLE BERGQUIST

Role:

OWNER

Phone:

2067134721

Taxonomy:

Selected Taxonomy:

261QM1300X - Multi-Specialty Clinic/Center

Is Primary:

Yes

Contacts:

Phone:

+1 509-924-3434

Fax:

5099244935

Form 5500 Series

Employer Identification Number (EIN):

473498677

Plan Year:

2019

Number Of Participants:

22

Plan Name:

401(K)

Sponsor's telephone number:

2064097100

File:

Plan Year:

2018

Number Of Participants:

47

Plan Name:

401(K)

Sponsor's telephone number:

2064097100

File:

Plan Administrator / Signatory:

LARRY MIGGINS(Plan administrator) LARRY MIGGINS(Employer/plan sponsor)

Plan Year:

2017

Number Of Participants:

62

Plan Name:

401(K)

Sponsor's telephone number:

2064090020

File:

Plan Year:

2016

Number Of Participants:

23

Plan Name:

401(K)

Sponsor's telephone number:

2064090020

File:

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