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OPTUM CARE WASHINGTON, PLLC

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Company Details

Legal Name: OPTUM CARE WASHINGTON, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: February 9th 1925
Expiration date: 28 Feb 2026
UBI Number: 313 001 098
ZIP code: 98201
City: Everett
County: SNOHOMISH
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 3901 HOYT AVE, EVERETT, WA, 98201-4918, UNITED STATES

Contact Details

E-Mail: CLS-CTARMSEVIDENCE@WOLTERSKLUWER.COM

Nature of Business

THE PURPOSE OF THE COMPANY IS TO PRACTICE MEDICINE AND TO DO ANY AND ALL THINGS NECESSARY, CONVENIENT OR INCIDENTAL TO THAT PURPOSE. [3/1/2016 SECTION 4 OF THE OPERATING AGREEMENT] CEF

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Registered Agent Information

Name Role
C T CORPORATION SYSTEM Registered Agent

Key Officers & Management

Name Role
GEORGE W. GO, M.D. Governing Person
MARILYN VICTORIA HIRSCH Governing Person
IMELDA DACONES, M.D. Governing Person
STEVEN R. ENGLISH, M.D. Governing Person
EVERETT PHYSICIANS, INC. P.S. Governing Person
JOHN GEORGE LIETHEN Governing Person

Links between entities

Type:
Headquarter of
Company Number:
6097970
State:
IDAHO
IDAHO profile:
OPTUM CARE WASHINGTON, PLLC (ID)
Type:
Headquarter of
Company Number:
1265390
State:
KENTUCKY
KENTUCKY profile:
OPTUM CARE WASHINGTON, PLLC (KY)
Type:
Headquarter of
Company Number:
LLC_13721092
State:
ILLINOIS
ILLINOIS profile:
OPTUM CARE WASHINGTON, PLLC (IL)

National Provider Identifier

NPI Number:
1700649225
Certification Date:
2024-05-10
Link:
View on NPI website

Authorized Person:

Name:
GEORGE GO
Role:
BOARD PRESIDENT
Phone:
4252590966

Taxonomy:

Selected Taxonomy:
261QM1300X - Multi-Specialty Clinic/Center
Is Primary:
No
Selected Taxonomy:
332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary:
Yes

Contacts:

Phone:
+1 425-304-8431
Phone:
+1 425-338-4000

History

Type Old value New value Date of change
Name change THE EVERETT CLINIC, PLLC OPTUM CARE WASHINGTON, PLLC 2024-02-15

Labor Condition Applications

Case Number:
I-200-20027-277742
Program:
H-1B
Job Title:
FAMILY MEDICINE PHYSICIAN
SOC (ONET/OES) code:
29-1062.00
SOC (ONET/OES) occupation title:
Family and General Practitioners
Begin Date:
2020-07-25
End Date:
2023-07-24

Employment and Wage Information

Address:
3901 HOYT AVENUE, EVERETT, SNOHOMISH, WA, 98201
Wage Rate Paid to Nonimmigrant Workers:
$230,000
Per:
Year
Prevailing Wage Rate:
$192,213
Case Number:
I-200-20106-488807
Program:
H-1B
Job Title:
Oncologist
SOC (ONET/OES) code:
29-1069.00
SOC (ONET/OES) occupation title:
Physicians and Surgeons, All Other
Begin Date:
2020-07-01
End Date:
2023-06-30

Employment and Wage Information

Address:
1717 13th Street, Everett, SNOHOMISH, WA, 98201
Wage Rate Paid to Nonimmigrant Workers:
$415,000
Per:
Year
Prevailing Wage Rate:
$208,000
Case Number:
I-200-20099-470501
Program:
H-1B
Job Title:
Oncologist
SOC (ONET/OES) code:
29-1069.00
SOC (ONET/OES) occupation title:
Physicians and Surgeons, All Other
Begin Date:
2020-04-20
End Date:
2023-04-19

Employment and Wage Information

Address:
1717 13th Street, Everett, SNOHOMISH, WA, 98201
Wage Rate Paid to Nonimmigrant Workers:
$415,000
Per:
Year
Prevailing Wage Rate:
$208,000
Case Number:
I-200-20099-470370
Program:
H-1B
Job Title:
Oncologist
SOC (ONET/OES) code:
29-1069.00
SOC (ONET/OES) occupation title:
Physicians and Surgeons, All Other
Begin Date:
2020-04-20
End Date:
2023-04-19

Employment and Wage Information

Address:
1717 13th Street, Everett, SNOHOMISH, WA, 98201
Wage Rate Paid to Nonimmigrant Workers:
$415,000
Per:
Year
Prevailing Wage Rate:
$208,000
Case Number:
I-200-20090-445548
Program:
H-1B
Job Title:
Oncologist
SOC (ONET/OES) code:
29-1069.00
SOC (ONET/OES) occupation title:
Physicians and Surgeons, All Other
Begin Date:
2020-04-13
End Date:
2023-04-13

Employment and Wage Information

Address:
1717 13th Street, Everett, SNOHOMISH, WA, 98201
Wage Rate Paid to Nonimmigrant Workers:
$415,000
Per:
Year
Prevailing Wage Rate:
$208,000

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