Provider First Line Business Practice Location Address:
4800 SAND POINT WAY NE M/S M2-8
Provider Second Line Business Practice Location Address:
CHILDREN'S HOSPITAL AND REGIONAL 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:
98105-3901
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-987-2210
Provider Business Practice Location Address Fax Number:
206-987-3824
Provider Enumeration Date:
07/12/2006