Provider First Line Business Practice Location Address:
6222 NE 74TH ST
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:
98115-8158
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-543-5800
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/31/2020