Provider First Line Business Practice Location Address:
325 NINTH AVE
Provider Second Line Business Practice Location Address:
HARBORVIEW MEDICAL CENTER, BOX 359702
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98104-2499
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
617-291-7145
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/11/2013