Provider First Line Business Practice Location Address:
1100 FAIRVIEW AVENUE N, LF-261,
Provider Second Line Business Practice Location Address:
FRED HUTCHINSON CANCER RESEARCH CENTER
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98109-1024
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-667-3249
Provider Business Practice Location Address Fax Number:
206-667-1502
Provider Enumeration Date:
05/05/2006