Individual
LINCOLN JON WESTFALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
803 E LINCOLN AVE, SUNNYSIDE, WA 98944-2383
(509) 837-6911
(509) 837-6920
Mailing address
503 E HIGHLAND AVE, CHELAN, WA 98816-8631
(509) 682-3300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP60107448
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09281980
WIFE'S BIRTHDATE
—
01
—
WESTFLJ239KF
DRIVER'S LICENSE
WA
Enumeration date
06/20/2008
Last updated
03/11/2020
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