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PRIMARY CARE NORTHWEST, P.L.L.C.

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Company Details

Legal Name: PRIMARY CARE NORTHWEST, P.L.L.C.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: May 19th 1999
Date of Dissolution: October 3rd 2021
Expiration date: 31 May 2021
UBI Number: 601 955 410
ZIP code: 98405
City: Tacoma
County: PIERCE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1812 S "J" ST # 102, TACOMA, WA, 98405, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $43,000

Contact Details

E-Mail: ANGIE@ASP-WA.COM
Phone Number: +1 253-231-2882

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
CHARLES WEATHERBY Registered Agent 1812 S J ST STE 102, TACOMA, WA, 98405-4965, UNITED STATES

Key Officers & Management

Name Role Address
MICHAEL BATEMAN Governing Person 1812 SOUTH J ST, SUITE 102, TACOMA, WA, 98405, UNITED STATES
CHARLES WEATHERBY Governing Person 1812 SOUTH J ST, SUITE 102, TACOMA, WA, 98405, UNITED STATES

National Provider Identifier

NPI Number:
1609849504

Authorized Person:

Name:
KIM NAGEL
Role:
PRACTICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
2536271886

Form 5500 Series

Employer Identification Number (EIN):
911978690
Plan Year:
2022
Number Of Participants:
36
Plan Name:
401(K)
Sponsor's telephone number:
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