Provider First Line Business Practice Location Address: 
1101 MADISON ST
    Provider Second Line Business Practice Location Address: 
SUITE 800
    Provider Business Practice Location Address City Name: 
SEATTLE
    Provider Business Practice Location Address State Name: 
WA
    Provider Business Practice Location Address Postal Code: 
98104-1306
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
206-215-2700
    Provider Business Practice Location Address Fax Number: 
    Provider Enumeration Date: 
05/21/2007