Provider First Line Business Practice Location Address:
4800 SAND POINT WAY NE
Provider Second Line Business Practice Location Address:
FA. 2. 300A, SEATTLE CHILDREN'S HOSPITAL
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98145-5005
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-987-2000
Provider Business Practice Location Address Fax Number:
866-771-0383
Provider Enumeration Date:
10/18/2006