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TIMBERLINE REHABILITATION SERVICES PS

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Company Details

Legal Name: TIMBERLINE REHABILITATION SERVICES PS
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: June 11th 2007
Expiration date: 30 Jun 2026
UBI Number: 602 734 578
ZIP code: 98684
City: Vancouver
County: CLARK
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 920 NE 112TH AVE STE 103, VANCOUVER, WA, 98684-5114, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 2116 NW 42ND AVE, CAMAS, WA, 98607, UNITED STATES

Contact Details

E-Mail: LESLIE@TIMBERLINEPT.COM
Phone Number: +1 360-567-2002

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
LESLIE SMITH Registered Agent 2116 NW 42ND AVE, CAMAS, WA, 98607-8235, UNITED STATES

Key Officers & Management

Name Role Address
LESLIE SMITH Governing Person 920 NE 112TH AVE STE 103, VANCOUVER, WA, 98684, UNITED STATES
ZANE SMITH Governing Person 920 NE 112TH AVE STE 103, VANCOUVER, WA, 98684, UNITED STATES

National Provider Identifier

NPI Number:
1215218102

Authorized Person:

Name:
MR. ZANE A. SMITH
Role:
M.P.T.
Phone:

Taxonomy:

Selected Taxonomy:
2084N0400X - Neurology Physician
Is Primary:
Yes

Contacts:

Fax:
3605672005

Form 5500 Series

Employer Identification Number (EIN):
260332078
Plan Year:
2023
Number Of Participants:
16
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
LESLIE SMITH(Plan administrator)
Plan Year:
2022
Number Of Participants:
18
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
LESLIE SMITH(Plan administrator)
Plan Year:
2016
Number Of Participants:
10
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
LESLIE SMITH(Plan administrator)
Plan Year:
2015
Number Of Participants:
12
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
LESLIE SMITH(Plan administrator)
Plan Year:
2014
Number Of Participants:
9
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
LESLIE SMITH(Plan administrator)

Paycheck Protection Program

Jobs Reported:
13
Initial Approval Amount:
$167,200
Date Approved:
2020-04-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$167,200
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Veteran
Forgiveness Amount:
$168,301.82
Servicing Lender:
Umpqua Bank
Use of Proceeds:
Payroll: $167,200
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