Provider First Line Business Practice Location Address:
11222 ROOSEVELT WAY NE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98125-6241
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-774-1100
Provider Business Practice Location Address Fax Number:
206-361-2339
Provider Enumeration Date:
12/02/2008