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PAIN CARE PHYSICIANS, PLLC

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Company Details

Legal Name: PAIN CARE PHYSICIANS, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: September 1st 2016
Expiration date: 30 Sep 2025
UBI Number: 604 032 151
ZIP code: 98057
City: Renton
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 801 SW 16TH ST STE 121, RENTON, WA, 98057-2628, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $92,802

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
ADAM R. BURKEY, MD Governing Person

National Provider Identifier

NPI Number:
1669214714
Certification Date:
2025-03-28

Authorized Person:

Name:
KEVIN MOON
Role:
MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
208VP0014X - Interventional Pain Medicine Physician
Is Primary:
No
Selected Taxonomy:
208VP0000X - Pain Medicine Physician
Is Primary:
No
Selected Taxonomy:
261QA1903X - Ambulatory Surgical Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2065386301

Paycheck Protection Program

Jobs Reported:
22
Initial Approval Amount:
$318,400
Date Approved:
2020-04-08
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$318,400
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$320,476.14
Servicing Lender:
Northwest Bank
Use of Proceeds:
Payroll: $318,400
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