Organization
OVERLAKE MEDICAL CLINICS LLC
Active
Parent organization
OVERLAKE MEDICAL CLINICS LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
OVERLAKE MEDICAL CLINICS LLC
Authorized official
DAVID SCHULTZ (COO)
(425) 688-5470
Entity
Organization
Contact information
Practice address
1750 112TH AVE NE, SUITE A101, BELLEVUE, WA 98004-3752
(425) 688-5234
(425) 688-5756
Mailing address
PO BOX 3905, DEPT 4204, SEATTLE, WA 98124-3905
(425) 688-5777
(425) 688-5605
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/22/2008
Last updated
10/22/2008
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