Individual
LISA N BUTTRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHA
Contact information
Practice address
1840 UNION AVE, NORTH BEND, OR 97459-3422
(541) 756-2057
(541) 751-7905
Mailing address
PO BOX 1013, NORTH BEND, OR 97459-0077
(541) 756-2057
(541) 751-7905
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/01/2011
Last updated
04/01/2011
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