Provider First Line Business Practice Location Address:
325 NINTH AVE BOX 359774
Provider Second Line Business Practice Location Address:
HARBORVIEW MEDICAL CENTER PEDIATRICS DEPARTMENT
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98104-2499
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-744-9373
Provider Business Practice Location Address Fax Number:
206-744-9862
Provider Enumeration Date:
11/02/2006