Provider First Line Business Practice Location Address:
8500 PERIMETER RD S
Provider Second Line Business Practice Location Address:
SUITE 101
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98108-3803
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-922-7484
Provider Business Practice Location Address Fax Number:
206-745-3797
Provider Enumeration Date:
04/26/2016