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PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES - NORTHWEST, LLC

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Company Details

Legal Name: PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES - NORTHWEST, LLC
Jurisdiction: WASHINGTON
Entity Type: FOREIGN LIMITED LIABILITY COMPANY
Category: FOREIGN ENTITY
Status: Active
Formation/ Registration Date: July 16th 2014
Expiration date: 31 Jul 2026
UBI Number: 603 420 195
ZIP code: 98501
City: Olympia
County: THURSTON
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 505 UNION AVE SE STE 120, OLYMPIA, WA, 98501-1474, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 2900 N ROCKY POINT DR, ATTN: POPS, TAMPA, FL, 33607-1435, UNITED STATES

Contact Details

E-Mail: JKANAS@SHRINENET.ORG
Phone Number: +1 813-281-0300

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role
NATIONAL REGISTERED AGENTS, INC. Registered Agent

Key Officers & Management

Name Role Address
SHRINERS HOSPITALS F CHLDREN Governing Person ATTN: POPS, 2900 N ROCKY PT DR, TAMPA, FL, 33607, UNITED STATES
JOANNE KANAS Governing Person 711 CAPITOL WAY S STE 204, OLYMPIA, WA, 98501-1267, UNITED STATES

National Provider Identifier

NPI Number:
1053719633
Certification Date:
2025-04-23

Authorized Person:

Name:
CLINT HASTINGS
Role:
MANAGER
Phone:

Taxonomy:

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

Contacts:

Fax:
8135187659
Fax:
5097441229
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