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PENINSULA CANCER CENTER, LLC

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Company Details

Legal Name: PENINSULA CANCER CENTER, LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Voluntarily Dissolved
Formation/ Registration Date: March 16th 2009
Date of Dissolution: August 3rd 2020
Expiration date: 31 Mar 2020
UBI Number: 602 907 540
ZIP code: 98370
City: Poulsbo
County: KITSAP
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 19917 7TH AVE NE STE 100, POULSBO, WA, 98370-6555, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $9,010

Contact Details

E-Mail: NPARKS@OMWLAW.COM

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
OMW R.A. SERVICES, LLC Registered Agent 701 5TH AVE STE 5600, SEATTLE, WA, 98104-7045, UNITED STATES

Key Officers & Management

Name Role Address
WASHINGTON RADIATION ONCOLOGY, LLC Governing Person 19917 7TH AVE NE, SUITE 100, POULSBO, WA, 98370, UNITED STATES
DAVID A ELLENHORN EXECUTOR 1601 5TH AVE STE 2100, SEATTLE, WA, 98101, UNITED STATES

National Provider Identifier

NPI Number:
1083857940

Authorized Person:

Name:
NEZAM TOOLOEE
Role:
AUTHORIZED OFFICIAL
Phone:

Taxonomy:

Selected Taxonomy:
2085R0001X - Radiation Oncology Physician
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
264480895
Plan Year:
2013
Number Of Participants:
13
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
RICHARD HSI(Plan administrator)
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