Provider First Line Business Practice Location Address:
1800 NINTH AVENUE
Provider Second Line Business Practice Location Address:
MS S511
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98101
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-332-5146
Provider Business Practice Location Address Fax Number:
206-287-5493
Provider Enumeration Date:
05/01/2008