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NORTHWEST HOSPICE, LLC

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Company Details

Name: NORTHWEST HOSPICE, LLC
Jurisdiction: Idaho
Legal type: Foreign Limited Liability Company
Status: Inactive-Revoked (Administrative)
Date of registration: 03 Apr 2017 (8 years ago)
Financial Date End: 30 Apr 2025
Date dissolved: 09 Jul 2025
Entity Number: 546600
Place of Formation: OREGON
File Number: 546600
Principal Address: SUITE 105 7632 SW DURHAM ROAD TIGARD, OR 97224
Mailing Address: STE 105 7632 SW DURHAM RD TIGARD, OR 97224-7597

Manager

Name Role Address Appointed On Resigned On
K Rickard Miller Jr Manager 25115 SW PARKWAY, WILSONVILLE, OR 97070 2023-03-06 No data
KARL R MILLER Manager 25117 SW PARKWAY, WILSONVILLE, OR 97070 2021-03-23 2023-03-06

Governor

Name Role Address Appointed On
Karl R Miller Jr Governor 25115 SW PARKWAY, WILSONVILLE, OR 97070 2022-03-21

National Provider Identifier

NPI Number:
1033530035
Certification Date:
2021-04-27

Authorized Person:

Name:
ROBERT THOMAS
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
251G00000X - Community Based Hospice Care Agency
Is Primary:
Yes

Contacts:

Fax:
5036822132
Fax:
2086429224

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0006346404 2025-07-09
Registered Agent Name/Address Change (mass change) 0006281433 2025-05-27
Annual Report 0005630440 2024-03-04
Annual Report 0005138378 2023-03-06
Registered Agent Name/Address Change (mass change) 0004903600 2022-09-12

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Date of last update: 07 Sep 2025

Sources: Idaho Secretary of State