Healthcare Provider Details
I. General information
NPI: 1457478620
Provider Name (Legal Business Name): ERIN WATSON MASSEY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/23/2007
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3225 HOSPITAL DR UNIT 101
JUNEAU AK
99801-7863
US
IV. Provider business mailing address
3225 HOSPITAL DR UNIT 101
JUNEAU AK
99801-7863
US
V. Phone/Fax
- Phone: 541-230-8177
- Fax:
- Phone: 541-230-8177
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | 250447 |
| License Number State | AK |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | 0101243984 |
| License Number State | VA |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | MD170377 |
| License Number State | OR |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: