Provider First Line Business Practice Location Address: 
SEATTLE CANCER CARE ALLIANCE
    Provider Second Line Business Practice Location Address: 
825 EASTLAKE AVE. E
    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: 
206-288-1375
    Provider Business Practice Location Address Fax Number: 
    Provider Enumeration Date: 
04/20/2006