LAKE GROVE CHIROPRACTIC PC NPI 1336307677

NPI Information

  • NPI: 1336307677
  • Provider Name: LAKE GROVE CHIROPRACTIC, PC
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Address: 17620 PILKINGTON RD
    LAKE OSWEGO, OR
    ZIP 97035
  • Phone: (503) 636-2265

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NPI Details

LAKE GROVE CHIROPRACTIC, PC is a chiropractor in Lake Oswego, OR. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. LAKE GROVE CHIROPRACTIC, PC NPI is 1336307677. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

17620 PILKINGTON RD
LAKE OSWEGO, OR
ZIP 97035-361
Phone: (503) 636-2265
Fax: (503) 636-9862

The provider's authorized official is Shawn Irene Harrington .
The authorized official title is Owner/president and has the following contact phone number (503) 636-2265.

The enumeration date for this NPI number is 5/22/2008 and was last updated on 5/22/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor2221OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1R0000QGFKGMEDICARE UPINOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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