Individual
KRISTINE MELISSA BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3303 SW BOND AVE, PORTLAND, OR 97239-4501
(503) 494-8311
Mailing address
3303 SW BOND AVE BLDG 2, PORTLAND, OR 97239-4501
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201404107RN
OR
363L00000X
Nurse Practitioner
FO6190765
OR
363LF0000X
Family Nurse Practitioner
Primary
201908653NP-PP
OR
Other
Enumeration date
10/31/2019
Last updated
02/07/2020
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