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FAMILY PRACTICE CENTER OF GRAYS HARBOR, P.C.

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Company Details

Legal Name: FAMILY PRACTICE CENTER OF GRAYS HARBOR, P.C.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: January 2nd 1992
Date of Dissolution: June 3rd 2023
Expiration date: 31 Jan 2023
UBI Number: 601 360 851
ZIP code: 98550
City: Hoquiam
County: GRAYS HARBOR
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 815 K ST, HOQUIAM, WA, 98550-3705, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $26,613

Contact Details

E-Mail: LAURA@EASTERSTONEY.COM
Phone Number: +1 360-538-1609

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
MELVIN K STRANGE MD Registered Agent 815 K ST, HOQUIAM, WA, 98550-0000, UNITED STATES

Key Officers & Management

Name Role
CRAIG TEVELIET Governing Person
MEL STRANGE Governing Person

National Provider Identifier

NPI Number:
1710075825

Authorized Person:

Name:
MRS. JANET K JULL
Role:
OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
3605337107

Form 5500 Series

Employer Identification Number (EIN):
911238063
Plan Year:
2017
Number Of Participants:
1
Sponsor's telephone number:

Paycheck Protection Program

Jobs Reported:
9
Initial Approval Amount:
$110,000
Date Approved:
2020-04-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$110,000
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$110,777.53
Servicing Lender:
Bank of the Pacific
Use of Proceeds:
Payroll: $110,000
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