Individual
MADELINE C. BUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1801 E DIVISION ST, MOUNT VERNON, WA 98274-4632
(360) 428-2500
(360) 445-8592
Mailing address
1400 E KINCAID ST, MOUNT VERNON, WA 98274-4127
(360) 814-6451
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
61035868
WA
363AM0700X
Medical Physician Assistant
Primary
PA61035868
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA61035868
WA STATE LICENSE NUMBER
WA
Enumeration date
06/06/2020
Last updated
10/25/2021
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