Provider First Line Business Practice Location Address:
501 EASTLAKE AVE E
Provider Second Line Business Practice Location Address:
UW O&P CLINIC
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98109
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-598-4026
Provider Business Practice Location Address Fax Number:
202-842-8427
Provider Enumeration Date:
06/24/2009