Provider First Line Business Practice Location Address:
6800 GREENWOOD AVE N
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98103-5228
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-686-8800
Provider Business Practice Location Address Fax Number:
206-686-3085
Provider Enumeration Date:
11/13/2006