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PROVIDENCE HEALTH & SERVICES - OREGON

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Company Details

Legal Name: PROVIDENCE HEALTH & SERVICES - OREGON
Jurisdiction: WASHINGTON
Entity Type: FOREIGN NONPROFIT CORPORATION
Category: FOREIGN ENTITY
Status: Active
Formation/ Registration Date: October 1st 1986
Expiration date: 31 Oct 2025
UBI Number: 601 097 557
ZIP code: 98057
City: Renton
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1801 LIND AVE. SW, #9016, RENTON, WA, 98057, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $2,012,297

Contact Details

E-Mail: CLS-CTARMSEVIDENCE@WOLTERSKLUWER.COM

Nature of Business

HEALTH CARE

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Registered Agent Information

Name Role
C T CORPORATION SYSTEM Registered Agent

Key Officers & Management

Name Role
GREGORY HOFFMAN Governing Person
JIM MARTIN Governing Person
JAMES D. WATSON Governing Person
ERIK G. WEXLER Governing Person
RICHARD BLAIR Governing Person
ISIAAH CRAWFORD, PH.D. Governing Person
SR. DIANE HEJNA CSJ,RN, Governing Person
DR. PH, SR. PHYLLIS HUGHES, RSM, Governing Person
DONALD W. ANDERSON,JR., Governing Person
MARY LYONS PHD Governing Person

National Provider Identifier

NPI Number:
1285201798
Certification Date:
2025-05-15
Link:
View on NPI website

Authorized Person:

Name:
DONALD WAYNE ANDERSON JR.
Role:
ASSISTANT SECRETARY OF ENROLLMENTS
Phone:
4253589786

Taxonomy:

Selected Taxonomy:
332BX2000X - Oxygen Equipment & Supplies (DME)
Is Primary:
No
Selected Taxonomy:
332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary:
Yes

Contacts:

Phone:
+1 503-215-4663
Fax:
5032154655
Phone:
+1 503-215-4333

Tax Exempt

Employer Identification Number (EIN):
51-0216587
In Care Of Name:
% SHELLY HANDKINS CFO ORE REGION
Ruling Date:
2001-12
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Copies of Returns

Return Type:
990T
Tax Period:
202212
Link:
Download 990T
Return Type:
990
Tax Period:
202212
Link:
Download 990
Return Type:
990T
Tax Period:
202112
Link:
Download 990T
Employer Identification Number (EIN):
93-0924302
In Care Of Name:
% SHELLY HANDKINS CFO ORE REGION
Ruling Date:
1946-03
Employer Identification Number (EIN):
93-1265038
In Care Of Name:
% SHELLY HANDKINS CFO ORE REGION
Ruling Date:
1946-03
Employer Identification Number (EIN):
93-0386929
In Care Of Name:
% SHELLY HANDKINS CFO ORE REGION
Ruling Date:
1946-03
Employer Identification Number (EIN):
93-0823489
In Care Of Name:
% SHELLY HANDKINS CFO ORE REGION
Ruling Date:
1946-03

Trademarks

Serial Number:
86593543
Mark:
CREDENA HEALTH
Status:
A Sections 8 and 15 combined declaration has been accepted and acknowl...
Mark Type:
Service Mark
Application Filing Date:
2015-04-10
Mark Drawing Type:
4 - STANDARD CHARACTER MARK
Mark Literal Elements:
CREDENA HEALTH
USPTO Link:
View Trademark on United States Patent and Trademark Office Website

Goods And Services

For:
Retail pharmacy services
First Use:
2015-10-01
International Classes:
035 - Primary Class
Class Status:
ACTIVE
For:
Pharmaceutical advice
First Use:
2015-10-01
International Classes:
044 - Primary Class
Class Status:
ACTIVE

Labor Condition Applications

Case Number:
I-200-24145-033004
Program:
H-1B
Job Title:
Physician, Urgent Care
SOC (ONET/OES) code:
29-1216.00
SOC (ONET/OES) occupation title:
General Internal Medicine Physicians
Begin Date:
2024-09-23
End Date:
2027-09-22

Employment and Wage Information

Address:
70 Bower Dr., #110, Medford, JACKSON, OR, 97501
Wage Rate Paid to Nonimmigrant Workers:
$283,794
Per:
Year
Prevailing Wage Rate:
$58,282
Case Number:
I-200-24169-121271
Program:
H-1B
Job Title:
Physician, Infectious Disease
SOC (ONET/OES) code:
29-1229.00
SOC (ONET/OES) occupation title:
Physicians, All Other
Begin Date:
2024-09-03
End Date:
2027-09-02

Employment and Wage Information

Address:
1698 East McAndrews Road, Suite 160, Medford, JACKSON, OR, 97504
Wage Rate Paid to Nonimmigrant Workers:
$290,000
Per:
Year
Prevailing Wage Rate:
$75,504
Case Number:
I-200-24185-170006
Program:
H-1B
Job Title:
Hospitalist
SOC (ONET/OES) code:
29-1229.02
SOC (ONET/OES) occupation title:
Hospitalists
Begin Date:
2024-08-19
End Date:
2027-08-18

Employment and Wage Information

Address:
1111 Crater Lake Avenue, Medford, JACKSON, OR, 97504
Wage Rate Paid to Nonimmigrant Workers:
$296,838
Per:
Year
Prevailing Wage Rate:
$58,490
Case Number:
I-200-24166-114800
Program:
H-1B
Job Title:
Hospitalist
SOC (ONET/OES) code:
29-1229.02
SOC (ONET/OES) occupation title:
Hospitalists
Begin Date:
2024-07-29
End Date:
2027-07-28

Employment and Wage Information

Address:
1111 Crater Lake Ave., Medford, JACKSON, OR, 97504
Wage Rate Paid to Nonimmigrant Workers:
$296,837
Per:
Year
Prevailing Wage Rate:
$64,605
Case Number:
I-200-23116-966699
Program:
H-1B
Job Title:
Family Medicine Physician
SOC (ONET/OES) code:
29-1215.00
SOC (ONET/OES) occupation title:
Family Medicine Physicians
Begin Date:
2023-08-07
End Date:
2026-08-06

Employment and Wage Information

Address:
70 Bower Dr., Medford, JACKSON, OR, 97501
Wage Rate Paid to Nonimmigrant Workers:
$235,000
Per:
Year
Prevailing Wage Rate:
$56,098

Related by address

1801 LIND AVE. SW, #9016, RENTON, WA, 98057, UNITED STATES

PROVIDENCE ST. JOSEPH HEALTH
WA NONPROFIT CORPORATION - Active
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