Provider First Line Business Mailing Address:
P.O. BOX 800, 850 MAPLE STREET
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MEDICAL LAKE
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
99022-0800
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
509-565-4000
Provider Business Mailing Address Fax Number:
509-565-4705