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RESTORE HEALTH & PAIN TREATMENT GROUP, PLLC

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Company Details

Legal Name: RESTORE HEALTH & PAIN TREATMENT GROUP, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: July 21st 2023
Expiration date: 31 Jul 2026
UBI Number: 605 288 081
ZIP code: 99207
City: Spokane
County: SPOKANE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1601 N DIVISION ST, SUITE B, SPOKANE, WA, 99207-2427, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 8524 W GAGE BLVD STE A1 PMB 355, KENNEWICK, WA, 99336-8241, UNITED STATES

Contact Details

E-Mail: SANDERSON@STAMPERLAW.COM

Nature of Business

Any Lawful Purpose

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Registered Agent Information

Name Role Address
STEVEN ANDERSON Registered Agent 720 W BOONE AVE STE 200, SPOKANE, WA, 99201-2560, UNITED STATES

Key Officers & Management

Name Role Address
RHODA REICH Executor 3523 S LLOYD RD, SPOKANE, WA, 99223-1177, UNITED STATES
WILLIAM WAITES Executor 3785 W PENINSULA DR, MOSES LAKE, WA, 98837-3044, UNITED STATES
CHRISTIAN GARRIDO Executor 8037 N WESTVIEW DR, COEUR D ALENE, ID, 83815-9576, UNITED STATES
NATALIA YERMAKOV Executor 9118 E WABASH RD, SPOKANE, WA, 99206-6079, UNITED STATES
RHODA REICH Governing Person -
WILLIAM WAITES Governing Person -
CHRISTIAN GARRIDO Governing Person -

Unique Entity ID

Unique Entity ID:
U62MDE2RR784
CAGE Code:
05P07
UEI Expiration Date:
2025-10-03

Business Information

Division Name:
RESTORE HEALTH & PAIN TREATMENT GROUP
Activation Date:
2024-10-11
Initial Registration Date:
2024-10-03

National Provider Identifier

NPI Number:
1124709290
Certification Date:
2023-08-02

Authorized Person:

Name:
RHODA LEE REICH
Role:
OWNER, CEO/COO
Phone:

Taxonomy:

Selected Taxonomy:
208VP0014X - Interventional Pain Medicine Physician
Is Primary:
No
Selected Taxonomy:
363AM0700X - Medical Physician Assistant
Is Primary:
No
Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
208VP0000X - Pain Medicine Physician
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
932523338
Plan Year:
2023
Number Of Participants:
0
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
CHRIS HORNE(Plan administrator)
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