Healthcare Provider Details

I. General information

NPI: 1649162033
Provider Name (Legal Business Name): OVERLAKE ARTHRITIS AND OSTEOPOROSIS CENTER, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2025
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1370 116TH AVE NE STE 100
BELLEVUE WA
98004-3825
US

IV. Provider business mailing address

2100 116TH AVE NE
BELLEVUE WA
98004-3016
US

V. Phone/Fax

Practice location:
  • Phone: 425-453-0766
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332900000X
TaxonomyNon-Pharmacy Dispensing Site
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ROCELLE SANCHEZ
Title or Position: PRACTICE MANAGER
Credential:
Phone: 428-453-0766