NORTHWEST FOOT AND ANKLE SPECIALISTS, LLC

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Company Details

Legal Name:	NORTHWEST FOOT AND ANKLE SPECIALISTS, LLC
Jurisdiction:	WASHINGTON
Entity Type:	WA LIMITED LIABILITY COMPANY
Category:	DOMESTIC ENTITY
Status:	Active
Formation/ Registration Date:	January 23rd 2019
Expiration date:	31 Jan 2026
UBI Number:	604 392 715
ZIP code:	98011
City:	Bothell
County:	KING
Home State:	WASHINGTON
Principal Office Street Address:	12900 NE 180TH ST, STE 150, BOTHELL, WA, 98011, UNITED STATES
Supporting healthcare providers fighting with COVID-19:	$38,831

Contact Details

E-Mail:	DRHALL@FOOTANDANKLENW.COM
Phone Number:	+1 206-365-5484

Nature of Business

Any Lawful Purpose, Health Care, Social Assistance & Service Organization, OFFICE OF PODIATRIC MEDICINE AND SURGERY

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Registered Agent Information

Name	Role
NORTHWEST REGISTERED AGENT LLC	Registered Agent

Key Officers & Management

Name	Role	Address
KELLY HALL	Executor	17191 BOTHELL WAY NE STE 103, LAKE FOREST PARK, WA, 98155-4250, UNITED STATES
KELLY HALL	Governing Person	-

National Provider Identifier

NPI Number:

1790337194

Certification Date:

2021-09-20

Link:

View on NPI website

Authorized Person:

Name:

DR. KELLY J. HALL

Role:

OWNER/STAFFING MEMBER/PHYSICIAN

Phone:

2063655484

Taxonomy:

Selected Taxonomy:

213E00000X - Podiatrist

Is Primary:

Yes

Contacts:

Phone:

+1 206-365-5484

Fax:

2063655714

Paycheck Protection Program

Jobs Reported:

Initial Approval Amount:

$11,617.5

Date Approved:

2021-01-21

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$11,617.5

Race:

Unanswered

Ethnicity:

Not Hispanic or Latino

Gender:

Male Owned

Veteran:

Non-Veteran

Forgiveness Amount:

$11,744.5

Servicing Lender:

Heritage Bank

Use of Proceeds:

Payroll: $11,617.5