Provider Demographics
NPI:1972665586
Name:ARMSTRONG, ANDREW SHAWN (OD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:SHAWN
Last Name:ARMSTRONG
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2719 SE 21ST AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97202-2236
Mailing Address - Country:US
Mailing Address - Phone:503-546-2565
Mailing Address - Fax:503-546-2680
Practice Address - Street 1:2719 SE 21ST AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97202-2236
Practice Address - Country:US
Practice Address - Phone:503-546-2565
Practice Address - Fax:503-546-2680
Is Sole Proprietor?:No
Enumeration Date:2006-12-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR2978T152W00000X
WA3956152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist