Individual
MRS. ANDREA JOY BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
23479 SE STARK ST, GRESHAM, OR 97030-2962
(503) 667-9300
(503) 667-4975
Mailing address
10915 SE STARK ST., PORTLAND, OR 97216
(503) 261-1120
(503) 261-8936
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12802
OR
Other
Enumeration date
10/26/2009
Last updated
04/25/2012
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