Provider Demographics
NPI:1215159371
Name:ARMSTRONG, PETER S (PHD)
Entity type:Individual
Prefix:DR
First Name:PETER
Middle Name:S
Last Name:ARMSTRONG
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:833 SW 11TH AVE STE 816
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97205-2122
Mailing Address - Country:US
Mailing Address - Phone:503-706-1786
Mailing Address - Fax:270-738-1786
Practice Address - Street 1:833 SW 11TH AVE STE 816
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97205-2122
Practice Address - Country:US
Practice Address - Phone:503-706-1786
Practice Address - Fax:270-738-1786
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1236102L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst