Individual
TRACIE CAROL BUTTERFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14145 SW GALBREATH DR, SHERWOOD, OR 97140-9170
(503) 925-8428
(503) 217-7117
Mailing address
PO BOX 1570, SHERWOOD, OR 97140-1570
(503) 925-8428
(503) 217-7117
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
38D2207927
OR
Other
Enumeration date
11/30/2021
Last updated
11/30/2021
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