Graduated: 2018
NPI: 1063991511
Practice Locations (8)
OVERLAKE MEDICAL CLINICS LLC
1035 116TH AVE NE
Bellevue, WA 980044604
OVERLAKE MEDICAL CLINICS LLC
1135 116TH AVE NE, SUITE 600
BELLEVUE, WA 980044623
4254542656
KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
11511 NE 10TH ST
BELLEVUE, WA 980048578
4255023000
OVERLAKE MEDICAL CLINICS LLC
1750 112TH AVE NE, SUITE B102
BELLEVUE, WA 980043772
4256885460
OVERLAKE MEDICAL CLINICS LLC
1035 116TH AVE NE
BELLEVUE, WA 980044604
4256885072
KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
2929 PINE ST
EVERETT, WA 982013835
4252611500
KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
200 15TH AVE E
SEATTLE, WA 981125260
2063263000
KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
9505 S STEELE ST
TACOMA, WA 984441858
2535976800
Source: CMS National Downloadable File, September 2026.