Provider First Line Business Practice Location Address:
12816 SE 38TH ST
Provider Second Line Business Practice Location Address:
SUITE I
Provider Business Practice Location Address City Name:
BELLEVUE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98006-1327
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
425-746-2000
Provider Business Practice Location Address Fax Number:
425-746-2555
Provider Enumeration Date:
10/18/2006