Individual
MARTHA BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
29197 SW ORLEANS AVE, WILSONVILLE, OR 97070-7388
(503) 427-0182
Mailing address
1920 24TH ST NE, SALEM, OR 97301-8150
(503) 385-3552
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
04/21/2014
Last updated
04/28/2014
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