Provider First Line Business Practice Location Address:
10620 NE 8TH ST
Provider Second Line Business Practice Location Address:
BELLEVUE PAIN INSTITUTE
Provider Business Practice Location Address City Name:
BELLEVUE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98004-4380
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
425-999-9633
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/24/2006