| Kenneth H Winslow, ARNP | |
| 
					9575 Ethan Wade Way Se, Snoqualmie, WA 98065-9577  | |
| (425) 831-2300 | |
| (425) 831-2361 | 
| Full Name | Kenneth H Winslow | 
|---|---|
| Gender | Male | 
| Speciality | Family Medicine | 
| Location | 9575 Ethan Wade Way Se, Snoqualmie, Washington | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1972543015 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | AP30006698 (Washington) | Primary | 
| Entity Name | Overlake Medical Clinics Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1801828421 PECOS PAC ID: 7012808827 Enrollment ID: O20040322001533  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Kenneth H Winslow, ARNP Po Box 2810, North Bend, WA 98045-2810 Ph: (425) 831-0777  | Kenneth H Winslow, ARNP 9575 Ethan Wade Way Se, Snoqualmie, WA 98065-9577 Ph: (425) 831-2300  | 
Dr. Jennifer Spence, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 35020 Se Kinsey St Ste A, Snoqualmie, WA 98065 Phone: 425-831-2300 Fax: 425-396-7694  | |
Craig M Schier, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 37624 Se Fury St, Ste 101, Snoqualmie, WA 98065 Phone: 425-888-2016 Fax: 206-320-5170  | |
Alan K Johnson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 35020 Se Kinsey St, Snoqualmie, WA 98065 Phone: 425-396-7682 Fax: 425-396-7694  | |
Dr. Volkmar Uwe Gaussmann, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 37624 Se Fury St Ste 101, Snoqualmie, WA 98065 Phone: 425-888-2016 Fax: 206-320-5170  | |
Joanna Marie Hagen, ARNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7713 Center Blvd Se Ste 160, Snoqualmie, WA 98065 Phone: 425-292-3347 Fax: 425-738-3020  | |
Darshana Dudgikar, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 37624 Se Fury St, Snoqualmie, WA 98065 Phone: 425-888-2016 Fax: 206-320-5170  | |
Dr. Stephenie Tornberg, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8100 Bracken Pl Se, Snoqualmie, WA 98065 Phone: 425-428-6966  |