Provider First Line Business Practice Location Address:
2101 EAST YESLER WAY
Provider Second Line Business Practice Location Address:
ODESSA BROWN CHILDREN'S CLINIC SUITE 100
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98122-5999
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-987-7254
Provider Business Practice Location Address Fax Number:
206-987-7206
Provider Enumeration Date:
10/03/2006