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ASHBROOK MEDICAL FAMILY PRACTICE, P. S.

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Company Details

Legal Name: ASHBROOK MEDICAL FAMILY PRACTICE, P. S.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: August 30th 1985
Expiration date: 31 Aug 2025
UBI Number: 600 591 045
ZIP code: 98662
City: Vancouver
County: CLARK
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 5512 NE 107TH AVE, VANCOUVER, WA, 98662-6169, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $173,581

Contact Details

E-Mail: JEANINE.JACKSON@Q3TEAM.COM
Phone Number: +1 360-892-2030

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
CANDICE JACKSON Registered Agent 5514 NE 107TH AVE STE 202, VANCOUVER, WA, 98662-6346, UNITED STATES

Key Officers & Management

Name Role Address
RICK JACKSON Governing Person 200 NE 18TH AVE, BATTLE GROUND, WA, 98604, UNITED STATES
JEANINE JACKSON Governing Person 200 NE 18TH AVE, BATTLE GROUND, WA, 98604, UNITED STATES

National Provider Identifier

NPI Number:
1518277011

Authorized Person:

Name:
NATHAN P WILSON
Role:
PRACTICE ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
3608921999

Paycheck Protection Program

Jobs Reported:
23
Initial Approval Amount:
$176,990
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$176,990
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$178,907.59
Servicing Lender:
JPMorgan Chase Bank, National Association
Use of Proceeds:
Payroll: $161,080
Utilities: $1,100
Rent: $9,300
Healthcare: $5510
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