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ELEVATE PHYSICAL THERAPY, PLLC

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Company Details

Legal Name: ELEVATE PHYSICAL THERAPY, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: March 8th 2019
Date of Dissolution: August 3rd 2023
Expiration date: 31 Mar 2023
UBI Number: 604 415 609
ZIP code: 98685
City: Vancouver
County: CLARK
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 513 NE 135TH ST, VANCOUVER, WA, 98685-2813, UNITED STATES

Contact Details

E-Mail: GMORTENSEN@ELEVATEPT.COM

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
GREGGORY MORTENSEN Registered Agent 513 NE 135TH ST, VANCOUVER, WA, 98685-2813, UNITED STATES

Key Officers & Management

Name Role Address
CRAIG SHERLE Executor 2541 N STOKESBERRY PL STE 100, MERIDIAN, ID, 83646-6101, UNITED STATES
GREGGORY MORTENSEN Executor 513 NE 135TH STREET, VANCOUVER, WA, 98685, UNITED STATES
US HEALTHCARE PARTNERS, LLC Governing Person -
GREGGORY MORTENSEN Governing Person -

National Provider Identifier

NPI Number:
1245887272
Certification Date:
2021-03-29

Authorized Person:

Name:
GREGGORY MORTENSEN
Role:
OWNER/PHYSICAL THERAPIST
Phone:

Taxonomy:

Selected Taxonomy:
225100000X - Physical Therapist
Is Primary:
Yes

Contacts:

Fax:
3606050417

Paycheck Protection Program

Jobs Reported:
2
Initial Approval Amount:
$27,800
Date Approved:
2020-04-13
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$27,800
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$14,561.55
Servicing Lender:
Northwest Bank
Use of Proceeds:
Payroll: $27,800
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