Provider First Line Business Practice Location Address:
701 DEXTER AVE N
Provider Second Line Business Practice Location Address:
SUITE 300
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98109-4342
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-281-8203
Provider Business Practice Location Address Fax Number:
206-281-8205
Provider Enumeration Date:
01/16/2007