Provider First Line Business Practice Location Address:
NORDSTROM MEDICAL TOWER
Provider Second Line Business Practice Location Address:
1229 MADISON ST. STE.#1210
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98104
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
253-847-9195
Provider Business Practice Location Address Fax Number:
253-847-9292
Provider Enumeration Date:
07/03/2006