Medical school: UNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Graduated: 1997
NPI: 1467411157
Practice Locations (2)
LINCOLN COUNTY HOSPITAL DISTRICT 3
10 NICHOLLS ST
DAVENPORT, WA 991229729
LINCOLN COUNTY HOSPITAL DISTRICT 3
10 NICHOLLS ST, CLINIC
DAVENPORT, WA 991229730
5097257501
Source: CMS National Downloadable File, September 2026.