Provider First Line Business Practice Location Address:
4700 42ND AVE SW
Provider Second Line Business Practice Location Address:
SUITE 480
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98116-4591
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-935-1282
Provider Business Practice Location Address Fax Number:
206-937-1380
Provider Enumeration Date:
09/22/2008