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LISA S. BLISS, M.D., P.S.

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Company Details

Legal Name: LISA S. BLISS, M.D., P.S.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: March 14th 2013
Expiration date: 31 Mar 2026
UBI Number: 603 285 077
ZIP code: 98926
City: Ellensburg
County: KITTITAS
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 110 W. 6TH AVE #327, ELLENSBURG, WA, 98926-3106, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 110 W. SIXTH AVENUE, PMB 327, ELLENSBURG, WA, 98926-3106, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $6,793

Contact Details

E-Mail: LISA.BLISS.MD@GMAIL.COM
Phone Number: +1 509-929-3770

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
LISA BLISS Registered Agent 110 W 6TH AVE #327, ELLENSBURG, WA, 98926-3106, UNITED STATES

Key Officers & Management

Name Role Address
LISA BLISS MD Governing Person 331 BOUNTIFUL LANE, ELLENSBURG, WA, 98926, UNITED STATES

National Provider Identifier

NPI Number:
1811314677

Authorized Person:

Name:
LISA S BLISS
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
2081P2900X - Pain Medicine (Physical Medicine & Rehabilitation) Physician
Is Primary:
Yes

Contacts:

Fax:
5098929998

Paycheck Protection Program

Jobs Reported:
1
Initial Approval Amount:
$5,600
Date Approved:
2021-05-18
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$5,600
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$5,619.18
Servicing Lender:
Washington Trust Bank
Use of Proceeds:
Payroll: $5,599
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