Healthcare Provider Details

I. General information

NPI: 1982491833
Provider Name (Legal Business Name): AYLE ARMSTRONG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/23/2025
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1205 HARRISON AVE NW
OLYMPIA WA
98502-5494
US

IV. Provider business mailing address

1205 HARRISON AVE NW
OLYMPIA WA
98502-5494
US

V. Phone/Fax

Practice location:
  • Phone: 360-352-4008
  • Fax: 360-534-0479
Mailing address:
  • Phone: 360-352-4008
  • 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 Code122300000X
TaxonomyDentist
License Number70131855
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: