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Individual

TIFFANY BUTLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1900 NE HIGHWAY 99W STE F2, MCMINNVILLE, OR 97128-2757
(971) 716-1515
Mailing address
1271 NE HIGHWAY 99W # 173, MCMINNVILLE, OR 97128-2720

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
05/06/2020
Last updated
05/06/2020
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Product
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  • EDI platform