Individual
CHARLES W BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 CALIFORNIA AVE SW STE 300, SEATTLE, WA 98116-3307
(206) 320-3399
(206) 320-5506
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
MD00043901
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8431488
—
WA
Enumeration date
06/21/2006
Last updated
11/10/2021
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