Provider Demographics
NPI:1639671753
Name:LISE HARRINGTON, DC, LAC, PC
Entity Type:Organization
Organization Name:LISE HARRINGTON, DC, LAC, PC
Other - Org Name:NEWPORT CHIROPRACTIC & ACUPUNCTURE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:503-890-6732
Mailing Address - Street 1:PO BOX 1619
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:WA
Mailing Address - Zip Code:99156-1619
Mailing Address - Country:US
Mailing Address - Phone:099-965-8845
Mailing Address - Fax:509-260-2076
Practice Address - Street 1:405 W WALNUT ST STE 1
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:WA
Practice Address - Zip Code:99156-9388
Practice Address - Country:US
Practice Address - Phone:509-993-5884
Practice Address - Fax:509-260-2076
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-05
Last Update Date:2022-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH60701250111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty