Organization
THREE RIVERS LTD.
Active
Other names
Dasso Chiropractic Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD LEMIEUX D.C. (MANAGER)
(509) 837-5022
Entity
Organization
Contact information
Practice address
1301 E EDISON AVE, SUNNYSIDE, WA 98944-1620
(509) 837-5022
(509) 837-4501
Mailing address
PO BOX 779, SUNNYSIDE, WA 98944-0779
(509) 837-5022
(509) 837-4501
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00001360
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2070407
—
WA
01
—
46630
LABOR & INDUSTRIES
WA
01
—
LE5811
REGENCE BLUE SHIELD
WA
Enumeration date
02/02/2007
Last updated
08/22/2020
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