Organization
OVERLAKE REPRODUCTIVE HEALTH INC., PS
Active
Organization
OVERLAKE REPRODUCTIVE HEALTH INC., PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATT TYSON (DIRECTOR, MANAGED CARE CONTRACTING)
(615) 477-6677
Entity
Organization
Contact information
Practice address
1135 116TH AVE NE, SUITE 640, BELLEVUE, WA 98004-4623
(425) 646-4700
(425) 646-1076
Mailing address
11232 NE 15TH ST STE 201, BELLEVUE, WA 98004-3739
(425) 646-4700
(425) 646-1076
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
207VE0102X
Reproductive Endocrinology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8128084
—
WA
Enumeration date
06/20/2006
Last updated
07/13/2026
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