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THE EVERGREEN CLINIC, PLLC

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Company Details

Legal Name: THE EVERGREEN CLINIC, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Voluntarily Dissolved
Formation/ Registration Date: December 1st 1997
Date of Dissolution: December 31st 2022
Expiration date: 31 Dec 2023
UBI Number: 601 839 816
ZIP code: 98034
City: Kirkland
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 12025 115TH AVE NE, SUITE 200, BLDG D, KIRLAND, WA, 98034-6935, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 320 1ST STREET N, SUITE 712, JACKSONVILLE BEACH, FL, 32250-6943, UNITED STATES

Contact Details

E-Mail: CLS-CTARMSEVIDENCE@WOLTERSKLUWER.COM
Phone Number: +1 877-858-3855

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
C T CORPORATION SYSTEM Registered Agent 711 CAPITOL WAY S STE 204, OLYMPIA, WA, 98501-1267, UNITED STATES

Key Officers & Management

Name Role
REFRESH MANAGEMENT, LLC Governing Person

National Provider Identifier

NPI Number:
1447314539

Authorized Person:

Name:
ANNE R. LUCAS
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
2084P0800X - Psychiatry Physician
Is Primary:
Yes

Contacts:

Fax:
4258231231

Paycheck Protection Program

Jobs Reported:
4
Initial Approval Amount:
$32,050
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$32,050
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$32,260.74
Servicing Lender:
Bank of America, National Association
Use of Proceeds:
Payroll: $32,050
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