Provider First Line Business Practice Location Address:
1959 NE PACIFIC ST. BOX 356460
Provider Second Line Business Practice Location Address:
UNIV OF WASHINGTON DEPT OF OBGYN
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98108
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-744-2250
Provider Business Practice Location Address Fax Number:
206-744-6312
Provider Enumeration Date:
04/20/2015