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A Seattle web design company can either be local, or it can be more nationally and internationally focused. A local company (one based in Seattle) will be able to provide a more personal service, since they will have staff who can meet with you and personally deliver updates on your project.
However, these companies may be smaller and not have the amount of experience that a larger company might have. Larger companies (such as www.352media.com), while generally unable to provide a very personal touch, often have much more experience, and can sometimes deliver a product that is more complex than a local web designer or web design company can handle.
To find these companies, search for them using your favorite search engine, then filter the list of results by looking at the company websites to see which ones have the best designs to suit your tastes.