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NORTHWEST PHYSICIANS MEDICAL GROUP, PLLC

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Company Details

Legal Name: NORTHWEST PHYSICIANS MEDICAL GROUP, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: August 31st 2010
Expiration date: 31 Aug 2025
UBI Number: 603 021 514
ZIP code: 98499
City: Lakewood
County: PIERCE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 5920 100TH ST SW STE 30, LAKEWOOD, WA, 98499-2751, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $92,094

Contact Details

E-Mail: CORPORATE@OMWLAW.COM

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role
OMW R.A. SERVICES, LLC Registered Agent

Key Officers & Management

Name Role
ULRICH BIRLENBACH Governing Person
THEODORE BRIDGE Governing Person
DAVID KENNEL Governing Person

National Provider Identifier

NPI Number:
1043513435
Certification Date:
2024-10-02
Link:
View on NPI website

Authorized Person:

Name:
DR. THEODORE BRIDGE
Role:
PRESIDENT
Phone:
2067154652

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
No
Selected Taxonomy:
207V00000X - Obstetrics & Gynecology Physician
Is Primary:
No
Selected Taxonomy:
208800000X - Urology Physician
Is Primary:
No
Selected Taxonomy:
208000000X - Pediatrics Physician
Is Primary:
No
Selected Taxonomy:
208600000X - Surgery Physician
Is Primary:
No
Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Phone:
+1 253-830-2030
Fax:
2538302055
Phone:
+1 253-584-3023
Fax:
2535821222

Form 5500 Series

Employer Identification Number (EIN):
273473897
Plan Year:
2023
Number Of Participants:
17
Plan Name:
RETIREMENT PLAN
Sponsor's DBA Name:
PHYSICIANS CARE NORTHWEST
Sponsor's telephone number:
2532413401
File:
View File
Plan Year:
2022
Number Of Participants:
37
Plan Name:
RETIREMENT PLAN
Sponsor's DBA Name:
PHYSICIANS CARE NORTHWEST
Sponsor's telephone number:
2532413401
File:
View File
Plan Administrator / Signatory:
WENDY HUEBNER(Plan administrator)
Plan Year:
2021
Number Of Participants:
34
Plan Name:
RETIREMENT PLAN
Sponsor's DBA Name:
PHYSICIANS CARE NORTHWEST
Sponsor's telephone number:
2532413401
File:
View File
Plan Administrator / Signatory:
WENDY HUEBNER(Plan administrator)
Plan Year:
2020
Number Of Participants:
34
Plan Name:
RETIREMENT PLAN
Sponsor's DBA Name:
PHYSICIANS CARE NORTHWEST
Sponsor's telephone number:
2532413401
File:
View File
Plan Year:
2019
Number Of Participants:
36
Plan Name:
RETIREMENT PLAN
Sponsor's DBA Name:
PHYSICIANS CARE NORTHWEST
Sponsor's telephone number:
2532413401
File:
View File

Paycheck Protection Program

Jobs Reported:
23
Initial Approval Amount:
$333,783.77
Date Approved:
2020-04-28
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$333,783.77
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$337,972.07
Servicing Lender:
Umpqua Bank
Use of Proceeds:
Payroll: $333,783.77
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