CYNTHIA D. GRAY, M.D., P.C.

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Company Details

Legal Name:	CYNTHIA D. GRAY, M.D., P.C.
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL SERVICE CORPORATION
Category:	DOMESTIC ENTITY
Status:	Active
Formation/ Registration Date:	May 18th 1998
Expiration date:	31 May 2026
UBI Number:	601 876 770
ZIP code:	98686
City:	Vancouver
County:	CLARK
Home State:	WASHINGTON
Principal Office Street Address:	2101 NE 139TH ST STE 285, VANCOUVER, WA, 98686-2326, UNITED STATES
Principal Office Mailing Address:	SUITE 285, 2101 NE 139TH ST, VANCOUVER, WA, 98686, UNITED STATES
Supporting healthcare providers fighting with COVID-19:	$750

Contact Details

E-Mail:	ADMIN@CYNTHIAGRAYMD.COM
Phone Number:	+1 360-892-0096

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name	Role	Address
CYNTHIA D GRAY MD	Registered Agent	2101 NE 139TH ST STE 285, VANCOUVER, WA, 98686-0000, UNITED STATES

Key Officers & Management

Name	Role
CYNTHIA GRAY	Governing Person

National Provider Identifier

NPI Number:

1477097251

Link:

View on NPI website

Authorized Person:

Name:

DR. CYNTHIA DEE GRAY

Role:

OWNER

Phone:

3608920096

Taxonomy:

Selected Taxonomy:

261QM2500X - Medical Specialty Clinic/Center

Is Primary:

Yes

Contacts:

Phone:

+1 360-892-0296

Fax:

3608921962

Phone:

+1 360-892-0096

Form 5500 Series

Employer Identification Number (EIN):

911908973

Plan Year:

2024

Number Of Participants:

11

Plan Name:

401(K)

Sponsor's telephone number:

3608920096

File:

Plan Administrator / Signatory:

LORI GAMBLE(Plan administrator)

Plan Year:

2023

Number Of Participants:

20

Plan Name:

401(K)

Sponsor's telephone number:

3608920096

File:

Plan Administrator / Signatory:

LORI GAMBLE(Plan administrator)

Plan Year:

2022

Number Of Participants:

20

Plan Name:

401(K)

Sponsor's telephone number:

3608920096

File:

Plan Administrator / Signatory:

LORI GAMBLE(Plan administrator)

Plan Year:

2021

Number Of Participants:

20

Plan Name:

401(K)

Sponsor's telephone number:

3608920096

File:

Plan Administrator / Signatory:

LORI GAMBLE(Plan administrator)

Plan Year:

2020

Number Of Participants:

20

Plan Name:

401(K)

Sponsor's telephone number:

3608920096

File:

Plan Administrator / Signatory:

LORI(Plan administrator)

Paycheck Protection Program

Jobs Reported:

3

Initial Approval Amount:

$42,259.4

Date Approved:

2020-04-28

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$42,259.4

Race:

White

Ethnicity:

Not Hispanic or Latino

Gender:

Female Owned

Veteran:

Non-Veteran

Forgiveness Amount:

$42,651.89

Servicing Lender:

Umpqua Bank

Use of Proceeds:

Payroll: $42,259.4

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