Provider First Line Business Practice Location Address:
500 17TH AVE S
Provider Second Line Business Practice Location Address:
PROVIDENCE SWEDISH MEDICAL CENTER
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98124-1008
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-320-3700
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/30/2005