Individual
TIMOTHY D BUTTERWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
325 9TH AVE, SEATTLE, WA 98104-2420
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP60884140
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003325333
—
WA
Enumeration date
09/29/2017
Last updated
04/17/2019
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