Provider First Line Business Mailing Address:
PO BOX 222000
Provider Second Line Business Mailing Address:
SEATTLE UNIVERSITY, LOYOLA 212
Provider Business Mailing Address City Name:
SEATTLE
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98122
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
206-296-5766
Provider Business Mailing Address Fax Number:
206-296-1892