Provider First Line Business Practice Location Address:
1410 NE CAMPUS PARKWAY
Provider Second Line Business Practice Location Address:
401 SCHMITZ HALL, # 355830
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98195-5830
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-543-1240
Provider Business Practice Location Address Fax Number:
206-616-6910
Provider Enumeration Date:
07/02/2021