Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lincoln County Hospital District 3

Organization Family Medicine Physician · NPI 1558309518

Lincoln County Hospital District 3 is a Family Medicine Physician in Davenport, Washington. Licensed in Washington. Registered with an NPI since 2006.

Licensed in
WA
In the registry since
2006
Specialties on file
3

Practice location Address checks out

10 Nicholls St
Davenport, WA 99122-9729
Phone: (509) 725-7501
Fax: (509) 725-7504
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rural Health Clinic/Center (primary) Taxonomy 261QR1300X
Family Medicine Physician Taxonomy 207Q00000X · Licence H-137 (WA)
Surgery Physician Taxonomy 208600000X · Licence H-137 (WA)

Record details

NPI number1558309518
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLincoln County Hospital District #3
Authorized official Tyson Lacy — Ceo · (509) 725-2979
Other names Davenport Clinic; North Basin Medical Clinics--Davenport Clinic; North Basin Medical Clinics--Davenport Clinic
NPI enumeratedJune 3, 2006
Last updated in NPPESJune 8, 2026
Certification dateJune 8, 2026
Mailing address10 Nicholls St, Davenport, WA 99122-9729

Other providers in Davenport