Overlake Medical Clinics LLC

NPI #1871745703 in Bellevue, Washington

Provider Information

NPI Number: 1871745703
Entity Type: Organization
Organization Name: Overlake Medical Clinics LLC
Subpart: Yes (part of a larger organization)
Parent Organization: OVERLAKE MEDICAL CLINICS LLC
Primary Specialty: Specialist
Enumeration Date: Oct 22, 2008
Last Updated: Oct 22, 2008

Practice Location

Address: 1750 112TH AVE NE
Address 2: SUITE A101
City: Bellevue
State: Washington
ZIP Code: 98004-3752
Phone: (425) 688-5234

Authorized Official

Name: DAVID SCHULTZ
Title: COO
Phone: (425) 688-5470

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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