Graduated: 2002
NPI: 1093940116
Practice Locations (4)
OVERLAKE MEDICAL CLINICS LLC
1035 116TH AVE NE
Bellevue, WA 980044604
OVERLAKE MEDICAL CLINICS LLC
1035 116TH AVE NE
BELLEVUE, WA 980044604
4256885072
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
Source: CMS National Downloadable File, September 2026.