Provider First Line Business Practice Location Address:
1200 N NORTHGATE WAY
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:
98133-8916
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-522-0200
Provider Business Practice Location Address Fax Number:
206-522-7019
Provider Enumeration Date:
08/26/2006