Provider First Line Business Practice Location Address:
UNIVERSITY OF WASHINGTON 1959 NE PACIFIC STREET
Provider Second Line Business Practice Location Address:
BOX 356310
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98195
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
612-964-6645
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/24/2025