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UP FAMILY MEDICINE, PLLC

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Company Details

Legal Name: UP FAMILY MEDICINE, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: May 31st 2018
Date of Dissolution: October 3rd 2023
Expiration date: 31 May 2023
UBI Number: 604 269 273
ZIP code: 98466
City: Tacoma
County: PIERCE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 4114 BRIDGEPORT WAY W, UNIVERSITY PLACE, WA, 98466-4315, UNITED STATES

Contact Details

E-Mail: BUSINESS@NORTHXNORTHWESTLAW.COM
Phone Number: +1 253-564-8100

Nature of Business

Health Care, Social Assistance & Service Organization, Any Lawful Purpose

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Registered Agent Information

Name Role Address
NORTH X NORTHWEST LAW GROUP, PLLC Registered Agent 2102 N 30TH ST STE A, TACOMA, WA, 98403-3319, UNITED STATES

Key Officers & Management

Name Role Address
EDWARD CORLEY Governing Person -
BROOKE JOHNSON EXECUTOR 4041 RUSTON WAY STE 200, TACOMA, WA, 98402-5300, UNITED STATES

National Provider Identifier

NPI Number:
1417577909
Certification Date:
2020-04-24

Authorized Person:

Name:
TAI DAVALOS
Role:
MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
261QH0100X - Health Service Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2535648387

Paycheck Protection Program

Jobs Reported:
4
Initial Approval Amount:
$24,100
Date Approved:
2021-03-16
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$24,100
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$24,183.68
Servicing Lender:
BMO Bank National Association
Use of Proceeds:
Payroll: $24,099
Jobs Reported:
2
Initial Approval Amount:
$8,745
Date Approved:
2020-04-30
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$8,745
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$8,849.94
Servicing Lender:
BMO Bank National Association
Use of Proceeds:
Payroll: $8,745
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