Provider First Line Business Practice Location Address:
325 9TH AVE
Provider Second Line Business Practice Location Address:
HARBOURVIEW MEDICAL CENTER, UNIVERSITY OF WASHINGTON
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98104-2420
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-744-3561
Provider Business Practice Location Address Fax Number:
206-744-8560
Provider Enumeration Date:
01/05/2015