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DOCTOR DIANE, P.S.

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Company Details

Legal Name: DOCTOR DIANE, P.S.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Voluntarily Dissolved
Formation/ Registration Date: May 27th 2005
Date of Dissolution: April 28th 2021
Expiration date: 31 May 2021
UBI Number: 602 507 189
ZIP code: 98057
City: Renton
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1412 SW 43RD ST STE 240, RENTON, WA, 98057-4803, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 19012 103RD PL SE, RENTON, WA, 98055-6602, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $3,893

Contact Details

E-Mail: DIANE@DOCTORDIANE.COM
Phone Number: +1 253-852-4699

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
MHFM LAW P.S. Registered Agent 1325 4TH AVE STE 1700, SEATTLE, WA, 98101-2528, UNITED STATES

Key Officers & Management

Name Role Address
DIANE ADAMS Governing Person 1412 SW 43RD ST STE 111, RENTON, WA, 98055, UNITED STATES
JONATHAN DEBOARD Governing Person -

National Provider Identifier

NPI Number:
1154524460
Certification Date:
2020-05-22

Authorized Person:

Name:
DR. DIANE M ADAMS
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
103T00000X - Psychologist
Is Primary:
No
Selected Taxonomy:
103T00000X - Psychologist
Is Primary:
Yes

Contacts:

Fax:
8448481265

Paycheck Protection Program

Jobs Reported:
2
Initial Approval Amount:
$16,250
Date Approved:
2020-04-30
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$16,250
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$16,386.23
Servicing Lender:
Bank of America, National Association
Use of Proceeds:
Payroll: $16,250
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