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WOODCREEK PROVIDER SERVICES LLC

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Company Details

Legal Name: WOODCREEK PROVIDER SERVICES LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: December 18th 1997
Expiration date: 31 Dec 2025
UBI Number: 601 839 437
ZIP code: 98374
City: Puyallup
County: PIERCE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 11102 SUNRISE BLVD E, SUITE 103, PUYALLUP, WA, 98374-8846, UNITED STATES

Contact Details

E-Mail: LCOOK@VJGLAW.COM
Phone Number: +1 253-848-8797

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
VJG REGISTERED AGENT SERVICES LLC Registered Agent 1201 PACIFIC AVE STE 1900, TACOMA, WA, 98402-4315, UNITED STATES

Key Officers & Management

Name Role
MARK GRUBB Governing Person
CALVIN KIERUM Governing Person

Form 5500 Series

Employer Identification Number (EIN):
911876332
Plan Year:
2019
Number Of Participants:
91
Sponsor's telephone number:
Plan Administrator / Signatory:
KRISTI DALLEY(Plan administrator)
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