Provider First Line Business Practice Location Address: 
701 5TH AVE
    Provider Second Line Business Practice Location Address: 
SUITE 4200
    Provider Business Practice Location Address City Name: 
SEATTLE
    Provider Business Practice Location Address State Name: 
WA
    Provider Business Practice Location Address Postal Code: 
98104-7097
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
206-855-3839
    Provider Business Practice Location Address Fax Number: 
    Provider Enumeration Date: 
08/02/2011