Healthcare Provider Details

I. General information

NPI: 1497995823
Provider Name (Legal Business Name): LAURA ELAINE ARMSTRONG M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LAURA ELAINE OLSON M.D.

II. Dates (important events)

Enumeration Date: 02/25/2009
Last Update Date: 01/24/2024
Certification Date: 01/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

610 E MAIN ST
ELMA WA
98541-9353
US

IV. Provider business mailing address

610 E MAIN ST
ELMA WA
98541-9353
US

V. Phone/Fax

Practice location:
  • Phone: 360-346-2222
  • Fax: 360-346-2191
Mailing address:
  • Phone: 360-346-2222
  • Fax: 360-346-2191

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberN2224
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number61299089
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: