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CHATTAROY FAMILY MEDICINE, PLLC

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Company Details

Legal Name: CHATTAROY FAMILY MEDICINE, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: March 1st 2010
Expiration date: 31 Mar 2026
UBI Number: 602 997 210
ZIP code: 99006
City: Deer Park
County: SPOKANE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 23 E CRAWFORD ST, DEER PARK, WA, 99006-5002, UNITED STATES
Principal Office Mailing Address: Google Maps Logo PO BOX 1304, DEER PARK, WA, 99006-1304, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $10,734

Contact Details

E-Mail: DOCBGRIFFIN2@GMAIL.COM
Phone Number: +1 509-276-2554

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
TYLER BLACK Registered Agent 717 W SPRAGUE AVE STE 1600, SPOKANE, WA, 99201-3923, UNITED STATES

Key Officers & Management

Name Role Address
BASIL GRIFFIN Governing Person 5024 B REDMAN RD, CHATTAROY, WA, 99110, UNITED STATES
JENNIFER GRIFFIN Governing Person 5024 B REDMAN RD, CHATTAROY, WA, 99110, UNITED STATES

National Provider Identifier

NPI Number:
1851613749

Authorized Person:

Name:
BASIL M GRIFFIN III
Role:
PRESIDENT
Phone:

Taxonomy:

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

Contacts:

Fax:
5092762564

Paycheck Protection Program

Jobs Reported:
5
Initial Approval Amount:
$66,500
Date Approved:
2020-04-10
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$66,500
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Veteran
Forgiveness Amount:
$67,010.14
Servicing Lender:
Washington Trust Bank
Use of Proceeds:
Payroll: $66,500
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