RAINIER ANESTHESIA ASSOCIATES, P.C.

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Company Details

Legal Name:	RAINIER ANESTHESIA ASSOCIATES, P.C.
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL SERVICE CORPORATION
Category:	DOMESTIC ENTITY
Status:	Active
Formation/ Registration Date:	April 1st 1993
Expiration date:	30 Apr 2026
UBI Number:	601 454 098
ZIP code:	98372
City:	Puyallup
County:	PIERCE
Home State:	WASHINGTON
Principal Office Street Address:	400 E PIONEER AVE, STE 101, PUYALLUP, WA, 98372, UNITED STATES
Supporting healthcare providers fighting with COVID-19:	$986,065

Contact Details

E-Mail:	OFFICE@RAINIERANESTHESIA.COM
Phone Number:	+1 253-445-5828

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name	Role	Address
ALEJANDRO GALINDO	Registered Agent	400 E PIONEER STE 101, PUYALLUP, WA, 98372-3256, UNITED STATES

Key Officers & Management

Name	Role	Address
BRIAN WALLACE	Governing Person	400 E PIONEER #101, PUYALLUP, WA, 98372, UNITED STATES
SCOTT NELSON	Governing Person	-
ROBB NAGATA	Governing Person	-
MARY KOURI	Governing Person	-
CAMILLE SAMUJH	Governing Person	-
WON MOON	Governing Person	-
JASON HOCHSTRASSER	Governing Person	-
KALEB JENSON	Governing Person	-

National Provider Identifier

NPI Number:

1487637013

Certification Date:

2021-03-19

Link:

View on NPI website

Authorized Person:

Name:

BRIAN WALLACE

Role:

HEAD OF GROUP

Phone:

7134472353

Taxonomy:

Selected Taxonomy:

207L00000X - Anesthesiology Physician

Is Primary:

Yes

Contacts:

Phone:

+1 253-445-5828

Form 5500 Series

Employer Identification Number (EIN):

911585659

Plan Year:

2023

Number Of Participants:

57

Plan Name:

401(K)

Sponsor's telephone number:

2534455828

File:

Plan Administrator / Signatory:

ALEX GALINDO(Plan administrator)

Plan Year:

2022

Number Of Participants:

53

Plan Name:

401(K)

Sponsor's telephone number:

2534455828

File:

Plan Year:

2021

Number Of Participants:

42

Plan Name:

401(K)

Sponsor's telephone number:

2534455828

File:

Plan Year:

2020

Number Of Participants:

44

Plan Name:

401(K)

Sponsor's telephone number:

2534455828

File:

Plan Year:

2019

Number Of Participants:

37

Plan Name:

401(K)

Sponsor's telephone number:

2534455828

File:

Paycheck Protection Program

Jobs Reported:

60

Initial Approval Amount:

$1,311,255

Date Approved:

2020-04-11

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$1,311,255

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$1,320,990.62

Servicing Lender:

KeyBank National Association

Use of Proceeds:

Payroll: $1,311,255

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