Provider First Line Business Practice Location Address:
900 UNIVERSITY ST.
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98101
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-382-3234
Provider Business Practice Location Address Fax Number:
206-748-7277
Provider Enumeration Date:
07/05/2007