Graduated: 2010
NPI: 1174819593
Practice Locations (3)
LINCOLN COUNTY HOSPITAL DISTRICT 3
10 NICHOLLS ST
DAVENPORT, WA 991229729
LINCOLN COUNTY HOSPITAL DISTRICT 3
10 NICHOLLS ST
DAVENPORT, WA 991229730
5097257501
LINCOLN COUNTY HOSPITAL DISTRICT 3
10 NICHOLLS ST, CLINIC
DAVENPORT, WA 991229730
5097257501
Source: CMS National Downloadable File, September 2026.