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

Overlake Neurology

Organization Neurology Physician · NPI 1730112285

Overlake Neurology is a Neurology Physician in Bellevue, Washington. Licensed in Washington. Registered with an NPI since 2006.

Licensed in
WA
In the registry since
2006

Practice location Address checks out

1135 116th Ave NE Ste 200
Bellevue, WA 98004-4623
Phone: (425) 709-7055
Fax: (425) 709-7066
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 602-380-699 (WA)

Record details

NPI number1730112285
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Fosmire — Partner · (425) 709-7055
NPI enumeratedJuly 8, 2006
Last updated in NPPESDecember 3, 2010
Mailing addressPo Box 94568, Seattle, WA 98124-6868

Other providers in Bellevue