Graduated: 1997
NPI: 1861582744
Practice Locations (3)
LINCOLN COUNTY HOSPITAL DISTRICT 3
10 NICHOLLS ST
DAVENPORT, WA 991229729
LINCOLN COUNTY HOSPITAL DISTRICT 3
10 NICHOLLS ST, CLINIC
DAVENPORT, WA 991229730
5097257501
DOUGLAS, GRANT, LINCOLN AND OKANOGAN COUNTIES PUBLIC HOSPITAL DISTRICT
411 FORTUYN RD
GRAND COULEE, WA 991338718
5096331753
Source: CMS National Downloadable File, September 2026.