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Individual

CHARLOTTE M BUTTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1057 12TH AVE, LONGVIEW, WA 98632-2509
(360) 423-7740
Mailing address
PO BOX 9825, VANCOUVER, WA 98666-8825
(360) 397-8000
(360) 397-8110

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI00002037
WA
171M00000X
Case Manager/Care Coordinator
DI00002037
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8504870
WA
Enumeration date
02/20/2008
Last updated
10/24/2017
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