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PUGET SOUND WORK INJURY CLINIC PLLC

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Company Details

Legal Name: PUGET SOUND WORK INJURY CLINIC PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: December 4th 2018
Expiration date: 31 Dec 2025
UBI Number: 604 361 565
ZIP code: 98310
City: Bremerton
County: KITSAP
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 812 CHERRY CT, BREMERTON, WA, 98310-3312, UNITED STATES
Principal Office Mailing Address: Google Maps Logo PO BOX 2017, CLEARLAKE, WA, 98235, UNITED STATES

Contact Details

E-Mail: PUGETSOUNDCLINIC@GMAIL.COM
Phone Number: +1 360-627-8344

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
LAWRENCE PIRKLE Registered Agent 1220 MEMORIAL HWY STE A, MOUNT VERNON, WA, 98273-3210, UNITED STATES

Key Officers & Management

Name Role Address
CHRISTINA HOLDEN Executor PO BOX 682, BREMERTON, WA, 98337-0154, UNITED STATES
STEVE CHRISTENSEN Executor 111 E MARYANN PL, SHELTON, WA, 98584-6672, UNITED STATES
DANIE CHRISTENSEN Executor PO BOX 765, LAKEBAY, WA, 98349-0765, UNITED STATES
KATHY BRADFORD Executor PO BOX 248, CLEARLAKE, WA, 98235-0248, UNITED STATES
KATHY BRADFORD Governing Person -

National Provider Identifier

NPI Number:
1629636055

Authorized Person:

Name:
KATHY YVONNE BRADFORD
Role:
PARTNER
Phone:

Taxonomy:

Selected Taxonomy:
261Q00000X - Clinic/Center
Is Primary:
Yes

Contacts:

History

Type Old value New value Date of change
Name change PUGET SOUND WORK INJURY CLINIC LLC PUGET SOUND WORK INJURY CLINIC PLLC 2021-01-06

Paycheck Protection Program

Jobs Reported:
2
Initial Approval Amount:
$4,000
Date Approved:
2020-04-29
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$4,000
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$4,040.88
Servicing Lender:
Heritage Bank
Use of Proceeds:
Payroll: $4,000
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