Medical school: UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Graduated: 1996
NPI: 1861409690
Practice Locations (3)
OVERLAKE MEDICAL CLINICS LLC
1035 116TH AVE NE
Bellevue, WA 980044604
OVERLAKE MEDICAL CLINICS LLC
1035 116TH AVE NE
BELLEVUE, WA 980044604
4256885072
OVERLAKE MEDICAL CLINICS LLC
1750 112TH AVE NE, SUITE B102
BELLEVUE, WA 980043772
4256885460
Source: CMS National Downloadable File, September 2026.