BINA SOURI, M.D., P.S.

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Company Details

Legal Name:	BINA SOURI, M.D., P.S.
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL SERVICE CORPORATION
Category:	DOMESTIC ENTITY
Status:	Administratively Dissolved
Formation/ Registration Date:	September 16th 1993
Date of Dissolution:	February 3rd 2018
Expiration date:	30 Sep 2017
UBI Number:	601 492 314
Supporting healthcare providers fighting with COVID-19:	$209

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Registered Agent Information

Name	Role	Address
BINA SOURI MD	Registered Agent	403 BLACK HILLS LN SW STE C, OLYMPIA, WA, 98502-8600, UNITED STATES

Key Officers & Management

Name	Role	Address
BINA SOURI	Governing Person	403-C BLACK HILLS LN SW, OLYMPIA, WA, 98502, UNITED STATES

National Provider Identifier

NPI Number:

1962750588

Link:

View on NPI website

Authorized Person:

Name:

BINA C SOURI

Role:

OWNER/PHYSICIAN

Phone:

3609561880

Taxonomy:

Selected Taxonomy:

207V00000X - Obstetrics & Gynecology Physician

Is Primary:

Yes

Contacts:

Phone:

+1 360-956-1880

Paycheck Protection Program

Jobs Reported:

Initial Approval Amount:

$3,500

Date Approved:

2020-04-28

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$3,500

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Female Owned

Veteran:

Non-Veteran

Forgiveness Amount:

$3,545.45

Servicing Lender:

Timberland Bank

Use of Proceeds:

Payroll: $3,500

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