Healthcare Provider Details

I. General information

NPI: 1841780186
Provider Name (Legal Business Name): EMILY KATHERINE ARMSTRONG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2018
Last Update Date: 08/31/2022
Certification Date: 08/31/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

341 NW MEDICAL LOOP STE 120
ROSEBURG OR
97471-5546
US

IV. Provider business mailing address

341 NW MEDICAL LOOP STE 120
ROSEBURG OR
97471-5546
US

V. Phone/Fax

Practice location:
  • Phone: 541-440-6388
  • Fax:
Mailing address:
  • Phone: 541-440-6388
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberMD209422
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: