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NORTHWEST SURGICAL SPECIALISTS, P.C.

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Company Details

Legal Name: NORTHWEST SURGICAL SPECIALISTS, P.C.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: April 20th 1971
Expiration date: 30 Apr 2026
UBI Number: 600 043 332
ZIP code: 98664
City: Vancouver
County: CLARK
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 200 NE MOTHER JOSEPH PL, STE 210, VANCOUVER, WA, 98664-3295, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $1,095,540

Contact Details

E-Mail: EXECUTIVE.DIRECTOR@REBOUNDMD.COM
Phone Number: +1 360-254-6161

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
EXECUTIVE DIRECTOR Registered Agent 200 NE MOTHER JOSEPH PL STE 210, VANCOUVER, WA, 98664-3295, UNITED STATES

Key Officers & Management

Name Role
TODD BORUS, MD Governing Person
EDWARD COALE, JR., MD Governing Person
JEROD COTTRILL, MD Governing Person
JAY CRARY, MD Governing Person
JEROME DASILVA, MD Governing Person
EVAN ELLIS, MD Governing Person
GREGORY GRAMSTAD, MD Governing Person
BENJAMIN JACOBS, MD Governing Person
JOHN KAFROUNI, MD Governing Person
KEVIN KAHN, MD Governing Person

National Provider Identifier

NPI Number:
1821510306

Authorized Person:

Name:
JAY L CRARY
Role:
AUTHORIZED OFFICIAL
Phone:

Taxonomy:

Selected Taxonomy:
332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
910866217
Plan Year:
2024
Number Of Participants:
356
Sponsor's telephone number:
Plan Year:
2023
Number Of Participants:
323
Sponsor's telephone number:
Plan Administrator / Signatory:
MISTY CHURCHWARD(Plan administrator)
Plan Year:
2023
Number Of Participants:
0
Plan Name:
CASH BALANCE
Sponsor's telephone number:
Plan Administrator / Signatory:
DOUG KLUCEVEK(Plan administrator)
Plan Year:
2022
Number Of Participants:
308
Sponsor's telephone number:
Plan Administrator / Signatory:
MISTY BENDER(Plan administrator)
Plan Year:
2021
Number Of Participants:
318
Sponsor's telephone number:
Plan Administrator / Signatory:
MISTY BENDER(Plan administrator)

Court Cases

Filing Date:
2025-02-17
Status:
Pending
Nature Of Judgment:
Missing
Jury Demand:
Plaintiff demands jury
Nature Of Suit:
Other Personal Property Damage
Parties:
METHVIN, - Plaintiff
NORTHWEST SURGICAL SPECIALISTS, P.C. - Defendant

Trademarks

Serial Number:
76653060
Mark:
REBOUND
Status:
The registration has been renewed.
Mark Type:
Service Mark
Application Filing Date:
2006-01-09
Mark Drawing Type:
4 - STANDARD CHARACTER MARK
Mark Literal Elements:
REBOUND

Goods And Services

For:
physical therapy services
First Use:
1998-11-28
International Classes:
044 - Primary Class
Class Status:
ACTIVE
Serial Number:
76629297
Mark:
REBOUND
Status:
REGISTERED AND RENEWED
Mark Type:
SERVICE MARK
Application Filing Date:
2005-01-25
Mark Drawing Type:
Illustration: Drawing or design which also includes word(s)/letter(s)/number(s)
Mark Literal Elements:
REBOUND

Goods And Services

For:
medical services, medical diagnostic services, and medical clinic services in the fields of musculoskeletal conditions, cranial and intracranial trauma and cond...
International Classes:
044 - Primary Class
Class Status:
Active
Serial Number:
76629298
Mark:
REBOUND
Status:
REGISTERED AND RENEWED
Mark Type:
SERVICE MARK
Application Filing Date:
2005-01-25
Mark Drawing Type:
Standard character mark
Mark Literal Elements:
REBOUND

Goods And Services

For:
medical services, medical diagnostic services, and medical clinic services in the fields of musculoskeletal conditions, cranial and intracranial trauma and cond...
International Classes:
044 - Primary Class
Class Status:
Active
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