Provider First Line Business Mailing Address:
UNIVERSITY OF WASHINGTON, BOX 356540
Provider Second Line Business Mailing Address:
1959 NE PACIFIC STREET, BB-1469
Provider Business Mailing Address City Name:
SEATTLE
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98195-7429
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
206-543-2673
Provider Business Mailing Address Fax Number: