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DR. PAULA M. NORDSTROM, LLC

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Company Details

Name: DR. PAULA M. NORDSTROM, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 05 Nov 2009 (16 years ago)
Financial Date End: 30 Nov 2024
Date dissolved: 22 Feb 2025
Entity Number: 273997
Place of Formation: IDAHO
File Number: 273997
ZIP code: 83651
County: Canyon County
Principal Address: 408 22ND AVE S NAMPA, ID 83651
Mailing Address: DR. PAULA M. NORDSTROM 12336 S CARRIAGE HILL WAY NAMPA, ID 83686-5764

Manager

Name Role Address Appointed On
Paula M Nordstrom Manager 12336 SOUTH CARRIAGE HILL WAY, NAMPA, ID 83686 2020-10-05

Agent

Name Role Address
DR PAULA M NORDSTROM Agent 12336 SOUTH CARRIAGE HILL WAY, DR. PAULA M. NORDSTROM, NAMPA, ID 83686

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

CAGE Code:
60V72
UEI Expiration Date:
2016-04-26

Business Information

Activation Date:
2015-04-27
Initial Registration Date:
2010-06-04

National Provider Identifier

NPI Number:
1063783728

Authorized Person:

Name:
DR. PAULA MICHELLE NORDSTROM
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
103TC0700X - Clinical Psychologist
Is Primary:
Yes

Contacts:

Fax:
2088392301

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0006117330 2025-02-22
Annual Report 0005443884 2023-10-18
Annual Report 0004968139 2022-11-02
Annual Report 0004434258 2021-10-03
Annual Report 0004024512 2020-10-05

USAspending Awards / Contracts

Procurement Instrument Identifier:
AG82A7C100075
Award Or Idv Flag:
AWARD
Award Type:
DCA
Action Obligation:
65100.00
Base And Exercised Options Value:
0.00
Base And All Options Value:
0.00
Awarding Agency Name:
Department of Agriculture
Performance Start Date:
2010-07-27
Description:
MENTAL HEALTH CENTENNIAL
Naics Code:
621112: OFFICES OF PHYSICIANS, MENTAL HEALTH SPECIALISTS
Product Or Service Code:
Q526: MEDICAL/PSYCH CONSULTATION SVCS

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Date of last update: 31 May 2025

Sources: Idaho Secretary of State