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SOURCE NORTHWEST INTEGRATIVE MEDICINE LLC

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Company Details

Legal Name: SOURCE NORTHWEST INTEGRATIVE MEDICINE LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: November 14th 2016
Expiration date: 30 Nov 2025
UBI Number: 604 058 930
ZIP code: 98252
City: Granite Falls
County: SNOHOMISH
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 2032 ROBE MENZEL RD, GRANITE FALLS, WA, 98252-9415, UNITED STATES

Contact Details

E-Mail: DR.CARRIEHARDY@GMAIL.COM
Phone Number: +1 559-410-0725

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
CARRIE HARDY Registered Agent 2032 ROBE MENZEL RD, GRANITE FALLS, WA, 98252-9415, UNITED STATES

Key Officers & Management

Name Role
CHRISTOPHER HARDY Governing Person
CARRIE HARDY Governing Person

National Provider Identifier

NPI Number:
1063971703

Authorized Person:

Name:
DR. CARRIE L HARDY
Role:
PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
208D00000X - General Practice Physician
Is Primary:
No
Selected Taxonomy:
175F00000X - Naturopath
Is Primary:
Yes

Contacts:

Fax:
3606297074

Paycheck Protection Program

Jobs Reported:
3
Initial Approval Amount:
$13,100
Date Approved:
2020-06-23
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$13,100
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$13,265.81
Servicing Lender:
Coastal Community Bank
Use of Proceeds:
Payroll: $13,100
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