Provider First Line Business Practice Location Address:
PROVIDENCE REGIONAL MEDICAL CENTER - EMERGENCY DEPARTME
Provider Second Line Business Practice Location Address:
1700 13TH ST
Provider Business Practice Location Address City Name:
EVERETT
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98201
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
425-259-0212
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/30/2007