NPIMap

Organization Active NPI

Lake Grove Chiropractic, PC

  • Chiropractor
  • Lake Oswego, OR
National Provider Identifier
1336307677
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2221 Issued in OR
Legal business name
LAKE GROVE CHIROPRACTIC, PC
Practice address
17620 Pilkington Rd
Lake Oswego, OR 97035-5361
Phone
(503) 636-2265
Fax
(503) 636-9862
NPI assigned
May 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Shawn Irene Harrington, D.C.
Title
Owner/President
Phone
(503) 636-2265

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2221 OR Primary

Addresses

Primary practice location

17620 Pilkington Rd
Lake Oswego, OR 97035-5361

Mailing address

17620 Pilkington Rd
Lake Oswego, OR 97035-5361
Phone (503) 636-2265

National Provider Directory

National Provider Directory

Locations

17620 Pilkington Rd
Lake Oswego, OR 97035
Phone (503) 636-1729

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1336307677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17620 PILKINGTON RD",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970355361",
            "telephone_number": "503-636-2265",
            "fax_number": "503-636-9862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17620 PILKINGTON RD",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970355361",
            "telephone_number": "503-636-2265",
            "fax_number": "503-636-9862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE GROVE CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "HARRINGTON",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "IRENE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "503-636-2265",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "2221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Oswego, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.