Individual
JEANNE H BUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1040 NW 22ND AVE, SUITE 320, PORTLAND, OR 97210-3057
(503) 413-6294
(503) 413-7780
Mailing address
PO BOX 3808, PORTLAND, OR 97208-3808
(503) 413-3900
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
M3945
TX
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD28103
OR
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
MD28103
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
186805101
—
TX
05
—
186805102
—
TX
05
—
242574
—
OR
Enumeration date
05/19/2006
Last updated
04/16/2024
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