MEDICARE: LISE HARRINGTON, DC, LAC, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	CH60701250	WA

General Provider Information

NPI Number	:	1639671753
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LISE HARRINGTON, DC, LAC, PC

Provider Business Mailing Address
First Line	:	PO BOX 1619
Second Line	:
City	:	NEWPORT
State	:	WA
Zip	:	99156-1619
Country	:	US
Telephone Number	:	99-965-8845
Fax Number	:	509-260-2076

Provider Business Practice Location Address
First Line	:	405 W WALNUT ST STE 1
Second Line	:
City	:	NEWPORT
State	:	WA
Zip	:	99156-9388
Country	:	US
Telephone Number	:	509-993-5884
Fax Number	:	509-260-2076

Authorized Official
Title or Position	:	PRESIDENT
Name	:	LISA HARRINGTON
Credential	:	DC
Telephone Number	:	503-890-6732

Provider Enumeration Date	:	03/05/2018
Last Update Date	:	01/14/2022

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