Individual
CHERYL BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 EMBARCADERO CTR STE 1900, SAN FRANCISCO, CA 94111-3723
(415) 658-6791
Mailing address
411 FORTUYN RD, GRAND COULEE, WA 99133-8718
(509) 633-1753
(509) 633-1933
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60600230
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2050004
—
WA
Enumeration date
09/18/2014
Last updated
03/31/2020
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