Medical school: MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduated: 2003
NPI: 1720028244
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.