Provider First Line Business Practice Location Address:
470 N.E. 70TH 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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-522-4000
Provider Business Practice Location Address Fax Number:
206-522-4004
Provider Enumeration Date:
01/30/2012