Graduated: 2002
NPI: 1073659108
Practice Locations (2)
OVERLAKE MEDICAL CLINICS LLC
1035 116TH AVE NE
BELLEVUE, WA 980044604
4256885072
KING COUNTY PUBLIC HOSPITAL DISTRICT NO 2
12303 NE 130TH LN, SUITE 120
KIRKLAND, WA 980343041
4258995100
Source: CMS National Downloadable File, September 2026.