Individual
RHETT BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10150 SE 32ND AVE, MILWAUKIE, OR 97222-6516
(503) 513-8641
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD179637
OR
207R00000X
Internal Medicine Physician
PG162939
OR
208M00000X
Hospitalist Physician
Primary
MD179637
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500667512
—
OR
Enumeration date
05/17/2013
Last updated
10/19/2020
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