DERMATOLOGY ASSOCIATES OF SOUTHWEST WASHINGTON, PLLC

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Company Details

Legal Name:	DERMATOLOGY ASSOCIATES OF SOUTHWEST WASHINGTON, PLLC
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category:	DOMESTIC ENTITY
Status:	Active
Formation/ Registration Date:	August 24th 2009
Expiration date:	31 Aug 2025
UBI Number:	602 950 077
ZIP code:	98664
City:	Vancouver
County:	CLARK
Home State:	WASHINGTON
Principal Office Street Address:	8614 E MILL PLAIN BLVD, STE 400, VANCOUVER, WA, 98664-2092, UNITED STATES
Supporting healthcare providers fighting with COVID-19:	$263,757

Contact Details

E-Mail:	CFLOOD@VANCDERMASSOC.COM
Phone Number:	+1 360-952-4494

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name	Role	Address
ELIZABETH DAWSON	Registered Agent	8614 E MILL PLAIN BLVD #400, VANCOUVER, WA, 98664-0000, UNITED STATES

Key Officers & Management

Name	Role
JOEL DATLOFF	Governing Person
ELIZABETH DAWSON	Governing Person

National Provider Identifier

NPI Number:

1992938906

Link:

View on NPI website

Authorized Person:

Name:

DR. JOEL H DATLOFF

Role:

OWNER

Phone:

3602545267

Taxonomy:

Selected Taxonomy:

261QM2500X - Medical Specialty Clinic/Center

Is Primary:

Yes

Contacts:

Phone:

+1 360-254-5267

Fax:

3602546089

Form 5500 Series

Employer Identification Number (EIN):

270688785

Plan Year:

2023

Number Of Participants:

26

Plan Name:

401(K)

Sponsor's telephone number:

3602545267

File:

Plan Administrator / Signatory:

ELIZABETH S DAWSON(Plan administrator)

Plan Year:

2022

Number Of Participants:

22

Plan Name:

401(K)

Sponsor's telephone number:

3602545267

File:

Plan Administrator / Signatory:

JOEL DATLOFF(Plan administrator)

Plan Year:

2021

Number Of Participants:

18

Plan Name:

401(K)

Sponsor's telephone number:

3602545267

File:

Plan Administrator / Signatory:

JOEL DATLOFF(Plan administrator)

Plan Year:

2020

Number Of Participants:

26

Sponsor's telephone number:

3602545267

File:

Plan Administrator / Signatory:

JOEL DATLOFF(Plan administrator)

Plan Year:

2019

Number Of Participants:

15

Sponsor's telephone number:

3602545267

File:

Paycheck Protection Program

Jobs Reported:

18

Initial Approval Amount:

$236,529.55

Date Approved:

2021-01-25

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$236,529.55

Race:

Unanswered

Ethnicity:

Not Hispanic or Latino

Gender:

Male Owned

Veteran:

Non-Veteran

Forgiveness Amount:

$237,922.45

Servicing Lender:

Riverview Bank

Use of Proceeds:

Payroll: $236,529.55

Jobs Reported:

18

Initial Approval Amount:

$217,435

Date Approved:

2020-04-14

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$217,435

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Male Owned

Veteran:

Non-Veteran

Forgiveness Amount:

$219,065.76

Servicing Lender:

Riverview Bank

Use of Proceeds:

Payroll: $217,435

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