Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Over Lake Medical Center

Organization Medical Specialty Clinic/Center · NPI 1770971830

Over Lake Medical Center is a Medical Specialty Clinic/Center in Bellevue, Washington. Licensed in Washington. Registered with an NPI since 2014.

Licensed in
WA
In the registry since
2014

Practice location Address checks out

1750 112th Ave NE Ste A101
Bellevue, WA 98004-3752
Phone: (425) 688-5234
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Specialty Clinic/Center (primary) Taxonomy 261QM2500X · Licence AP60481748 (WA)

Record details

NPI number1770971830
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kier Jordan-Keith — Practice Supervisor · (425) 688-5846
NPI enumeratedDecember 24, 2014
Last updated in NPPESDecember 24, 2014
Mailing address1750 112th Ave Ne, Suite A101, Bellevue, WA 98004-3752

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