Provider First Line Business Practice Location Address:
1705 NE PACIFIC ST BOX 357470
Provider Second Line Business Practice Location Address:
ATTN: ACADEMIC PROGRAMS
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98195-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-685-1624
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/08/2025