WOMEN'S & FAMILY HEALTH SPECIALISTS PC

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Company Details

Legal Name:	WOMEN'S & FAMILY HEALTH SPECIALISTS PC
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL SERVICE CORPORATION
Category:	DOMESTIC ENTITY
Status:	Voluntarily Dissolved
Formation/ Registration Date:	August 29th 2013
Date of Dissolution:	March 13th 2019
Expiration date:	31 Aug 2019
UBI Number:	603 329 236
ZIP code:	98057
City:	Renton
County:	KING
Home State:	WASHINGTON
Principal Office Street Address:	1412 SW 43RD ST STE 200, RENTON, WA, 98057, UNITED STATES

Contact Details

E-Mail:	ADMIN@WFHSMD.COM
Phone Number:	+1 425-271-4910

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name	Role
AUGUSTINE LAWRENCE MD	Registered Agent

Key Officers & Management

Name	Role	Address
EMILY BALSER	Governing Person	731 N 95TH ST, UNIT B, SEATTLE, WA, 98103, UNITED STATES
AUGUSTINE LAWRENCE	Governing Person	9851 NE 27TH ST, BELLEVUE, WA, 98004, UNITED STATES
NAOMI OLSON STROUPE	Governing Person	470 BOSTON ST, SEATTLE, WA, 98109, UNITED STATES

National Provider Identifier

NPI Number:

1376552257

Link:

View on NPI website

Authorized Person:

Name:

DR. MARCIA C JORDAN

Role:

PRESIDENT

Phone:

4252714910

Taxonomy:

Selected Taxonomy:

207Q00000X - Family Medicine Physician

Is Primary:

No

Selected Taxonomy:

207V00000X - Obstetrics & Gynecology Physician

Is Primary:

Yes

Contacts:

Phone:

+1 425-271-4910

Fax:

4252641041

Form 5500 Series

Employer Identification Number (EIN):

463576243

Plan Year:

2018

Number Of Participants:

36

Plan Name:

401(K)

Sponsor's telephone number:

4252714910

File:

Plan Administrator / Signatory:

AUGUSTINE LAWRENCE(Plan administrator) AUGUSTINE LAWRENCE(Employer/plan sponsor)

Plan Year:

2017

Number Of Participants:

34

Plan Name:

401(K)

Sponsor's telephone number:

4252714910

File:

Plan Administrator / Signatory:

NAOMI OLSON(Plan administrator) NAOMI OLSON(Employer/plan sponsor)

Plan Year:

2016

Number Of Participants:

36

Plan Name:

401(K)

Sponsor's telephone number:

4252714910

File:

Plan Administrator / Signatory:

JAMES HUDSON(Plan administrator) JAMES HUDSON(Employer/plan sponsor)

Plan Year:

2015

Number Of Participants:

33

Plan Name:

401(K)

Sponsor's telephone number:

4252714910

File:

Plan Administrator / Signatory:

JAMES HUDSON(Plan administrator) JAMES HUDSON(Employer/plan sponsor)

Plan Year:

2014

Number Of Participants:

33

Plan Name:

401(K)

Sponsor's telephone number:

4252714910

File:

Plan Administrator / Signatory:

JAMES HUDSON(Plan administrator) JAMES HUDSON(Employer/plan sponsor)

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