Provider First Line Business Practice Location Address: 
16255 NE 87TH ST STE 150
    Provider Second Line Business Practice Location Address: 
    Provider Business Practice Location Address City Name: 
REDMOND
    Provider Business Practice Location Address State Name: 
WA
    Provider Business Practice Location Address Postal Code: 
98052-7464
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
425-883-8000
    Provider Business Practice Location Address Fax Number: 
425-883-7580
    Provider Enumeration Date: 
07/11/2012