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RENOVO MEDICAL GROUP, PLLC

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Company Details

Legal Name: RENOVO MEDICAL GROUP, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: December 13th 2013
Expiration date: 31 Dec 2025
UBI Number: 603 358 477
ZIP code: 98155
City: Seattle
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 19930 BALLINGER WAY NE, SHORELINE, WA, 98155-1223, UNITED STATES

Contact Details

E-Mail: WILLS@CNRLAW.COM

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
WILLIAM MITCHELL Registered Agent 3232 ROCKEFELLER AVE, EVERETT, WA, 98201-4317, UNITED STATES

Key Officers & Management

Name Role
ROBERT W. LANDERHOLM, MD Governing Person

National Provider Identifier

NPI Number:
1275931982

Authorized Person:

Name:
CHERYL HAMILL
Role:
OPERATIONS MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
207QB0002X - Obesity Medicine (Family Medicine) Physician
Is Primary:
No
Selected Taxonomy:
207QS1201X - Sleep Medicine (Family Medicine) Physician
Is Primary:
No
Selected Taxonomy:
208600000X - Surgery Physician
Is Primary:
No
Selected Taxonomy:
207QA0505X - Adult Medicine Physician
Is Primary:
Yes

Contacts:

Paycheck Protection Program

Jobs Reported:
5
Initial Approval Amount:
$71,555
Date Approved:
2020-04-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$71,555
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$72,232.78
Servicing Lender:
U.S. Bank, National Association
Use of Proceeds:
Payroll: $71,555
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