Individual
ANGELI D. BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
896 FORTNER ST, ONTARIO, OR 97914-1787
(541) 881-2828
Mailing address
1441 NE 10TH AVE, PAYETTE, ID 83661-5420
(208) 642-9376
(208) 642-9598
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC-10590
ID
101Y00000X
Counselor
R9435
OR
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500842281
—
OR
Enumeration date
06/11/2024
Last updated
01/13/2026
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