Provider First Line Business Practice Location Address:
1111 N NORTHGATE WAY
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:
98133-8913
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-523-2225
Provider Business Practice Location Address Fax Number:
206-523-9101
Provider Enumeration Date:
12/30/2013