Provider First Line Business Practice Location Address:
WEST CLINIC, 325 9TH AVE., GROUND
Provider Second Line Business Practice Location Address:
3RD FLOOR
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98104-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-520-5000
Provider Business Practice Location Address Fax Number:
206-744-8516
Provider Enumeration Date:
04/13/2022