Provider First Line Business Practice Location Address:
5000 SW SPOKANE ST
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:
98116-3234
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-252-9700
Provider Business Practice Location Address Fax Number:
206-252-9701
Provider Enumeration Date:
01/16/2013