SALMON CREEK PLASTIC SURGERY, P.C.

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Company Details

Legal Name:	SALMON CREEK PLASTIC SURGERY, P.C.
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL SERVICE CORPORATION
Category:	DOMESTIC ENTITY
Status:	Active
Formation/ Registration Date:	November 29th 2006
Expiration date:	30 Nov 2025
UBI Number:	602 673 506
ZIP code:	98685
City:	Vancouver
County:	CLARK
Home State:	WASHINGTON
Principal Office Street Address:	13712 NE 10TH AVE, VANCOUVER, WA, 98685-2628, UNITED STATES
Supporting healthcare providers fighting with COVID-19:	$5,324

Contact Details

E-Mail:	RGREEN@SALMONCREEKPS.COM
Phone Number:	+1 360-823-0860

Nature of Business

MEDICAL SERVICES

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Registered Agent Information

Name	Role
LANDERHOLM, P.S.	Registered Agent

Key Officers & Management

Name	Role
RICHARD GREEN JR	Governing Person
JANE NAMKUNG	Governing Person

National Provider Identifier

NPI Number:

1588802466

Certification Date:

2022-12-29

Link:

View on NPI website

Authorized Person:

Name:

DR. RICHARD K GREEN

Role:

BUSINESS OWNER / PLASTIC SURGEON

Phone:

3608230860

Taxonomy:

Selected Taxonomy:

2086S0122X - Plastic and Reconstructive Surgery Physician

Is Primary:

No

Selected Taxonomy:

261QA1903X - Ambulatory Surgical Clinic/Center

Is Primary:

Yes

Contacts:

Phone:

+1 360-823-0860

Fax:

3608281407

Form 5500 Series

Employer Identification Number (EIN):

205914560

Plan Year:

2024

Number Of Participants:

17

Plan Name:

401(K)

Sponsor's telephone number:

3605747784

File:

Plan Administrator / Signatory:

JANE NAMKUNG(Plan administrator)

Plan Year:

2023

Number Of Participants:

16

Plan Name:

401(K)

Sponsor's telephone number:

3605747784

File:

Plan Administrator / Signatory:

JANE NAMKUNG(Plan administrator)

Plan Year:

2022

Number Of Participants:

15

Plan Name:

401(K)

Sponsor's telephone number:

3608230860

File:

Plan Administrator / Signatory:

JANE NAMKUNG(Plan administrator)

Plan Year:

2021

Number Of Participants:

15

Plan Name:

401(K)

Sponsor's telephone number:

3605747784

File:

Plan Administrator / Signatory:

JANE NAMKUNG(Plan administrator)

Plan Year:

2020

Number Of Participants:

12

Plan Name:

401(K)

Sponsor's telephone number:

3605747784

File:

Plan Administrator / Signatory:

VIRGINIA HUANG(Plan administrator)

Paycheck Protection Program

Jobs Reported:

7

Initial Approval Amount:

$154,452

Date Approved:

2020-04-14

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$154,452

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$155,597.52

Servicing Lender:

Riverview Bank

Use of Proceeds:

Payroll: $154,452

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