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DERMATOLOGY CLINIC OF SPOKANE PC

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Company Details

Legal Name: DERMATOLOGY CLINIC OF SPOKANE PC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: December 22nd 2017
Expiration date: 31 Dec 2025
UBI Number: 604 204 362
ZIP code: 99218
City: Spokane
County: SPOKANE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 309 E. FARWELL RD, SPOKANE, WA, 99218, UNITED STATES

Contact Details

E-Mail: JPGREWE@GOREGREWE.COM
Phone Number: +1 509-484-4591

Nature of Business

Other Services, Health Care, Social Assistance & Service Organization, PROFESSIONAL DERMATOLOGY AND RELATED HEALTHCARE

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Registered Agent Information

Name Role Address
WILLIAM WRAY Registered Agent 7804 N G ST, SPOKANE, WA, 99208-8620, UNITED STATES

Key Officers & Management

Name Role Address
WILLIAM WRAY Governing Person -
WILLIAM WRAY Incorporator 8024 N AUSTIN RD, SPOKANE, WA, 99208-9639, UNITED STATES

Unique Entity ID

Unique Entity ID:
FTJVCJNZ7R23
UEI Expiration Date:
2026-02-19

Business Information

Activation Date:
2025-02-21
Initial Registration Date:
2024-03-20

National Provider Identifier

NPI Number:
1992348619
Certification Date:
2020-02-11

Authorized Person:

Name:
DR. WILLIAM ANDREW WRAY
Role:
OWNER/PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
207N00000X - Dermatology Physician
Is Primary:
Yes

Contacts:

Fax:
5094847882

Paycheck Protection Program

Jobs Reported:
9
Initial Approval Amount:
$93,626
Date Approved:
2020-04-14
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$93,626
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$94,593.47
Servicing Lender:
U.S. Bank, National Association
Use of Proceeds:
Payroll: $93,626
Jobs Reported:
9
Initial Approval Amount:
$60,012
Date Approved:
2021-03-03
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$60,012
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$60,280.39
Servicing Lender:
U.S. Bank, National Association
Use of Proceeds:
Payroll: $60,010
Utilities: $1
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