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SHANE R. SON, M.D., P.L.L.C.

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Company Details

Legal Name: SHANE R. SON, M.D., P.L.L.C.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: June 14th 2007
Date of Dissolution: November 3rd 2023
Expiration date: 30 Jun 2023
UBI Number: 602 727 792
ZIP code: 98502
City: Olympia
County: THURSTON
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 404 BLACK HILLS LN SW STE D, OLYMPIA, WA, 98502-8148, UNITED STATES
Principal Office Mailing Address: Google Maps Logo PO BOX 12389, OLYMPIA, WA, 98508-2389, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $6,976

Contact Details

Phone Number: +1 360-528-2100

Nature of Business

MEDICAL OFFICE

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Registered Agent Information

Name Role Address
SHANE R SON MD Registered Agent 404 BLACK HILLS LN SW STE D, OLYMPIA, WA, 98502-8148, UNITED STATES

Key Officers & Management

Name Role Address
SHANE SON Governing Person 404 BLACK HILLS LANE SW, SUITE D, OLYMPIA, WA, 98502, UNITED STATES
SHANE R SON MD EXECUTOR 412 A BLACK HILLS LN, 1105 ARCADIA ST NW, OLYMPIA, WA, 98502, UNITED STATES

National Provider Identifier

NPI Number:
1518166040

Authorized Person:

Name:
DR. SHANE RIZARRI SON
Role:
PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
3605282104

Paycheck Protection Program

Jobs Reported:
2
Initial Approval Amount:
$11,417
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$11,417
Race:
Asian
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Unanswered
Forgiveness Amount:
$11,569.86
Servicing Lender:
U.S. Bank, National Association
Use of Proceeds:
Payroll: $11,417
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