Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 3473ATI | OR |
N | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 3473ATI | OR |
N | 152WP0200X | Pediatric Optomitrist | 3473ATI | OR |
NPI | 1013277391 |
---|---|
Provider Name | Dr. Laura Mae Armstrong |
First Address | Portland, OR 97211-5847 |
Second Address | Portland, OR 97211-5847 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/05/2012 |
Last Update Date | 04/06/2013 |