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QUIMPER FAMILY MEDICINE, P.C.

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Company Details

Legal Name: QUIMPER FAMILY MEDICINE, P.C.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: June 5th 2009
Date of Dissolution: November 3rd 2021
Expiration date: 30 Jun 2021
UBI Number: 602 930 494
ZIP code: 98368
City: Port Townsend
County: JEFFERSON
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 2120 LAWRENCE ST, PORT TOWNSEND, WA, 98368-7925, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $6,061

Contact Details

E-Mail: CLINIC@QUIMPERMEDICINE.COM
Phone Number: +1 360-385-3826

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
KATHERINE OTTAWAY Registered Agent 2120 LAWRENCE ST, PORT TOWNSEND, WA, 98368-7925, UNITED STATES

Key Officers & Management

Name Role Address
KATHERINE OTTAWAY Governing Person 1180 14TH ST, PORT TOWNSEND, WA, 98368, UNITED STATES

National Provider Identifier

NPI Number:
1083932917

Authorized Person:

Name:
KATHERINE TEMPLE OTTAWAY
Role:
PRESIDENT
Phone:

Taxonomy:

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

Contacts:

Fax:
3603853937

Paycheck Protection Program

Jobs Reported:
2
Initial Approval Amount:
$16,632
Date Approved:
2020-04-28
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$16,632
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$16,795.55
Servicing Lender:
Kitsap Bank
Use of Proceeds:
Payroll: $16,632
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