Individual
MS. KASSANDRA ASHLEY BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
4455 NE HIGHWAY 20, CORVALLIS, OR 97330-9695
(541) 360-8475
Mailing address
3415 SE POWELL BLVD, PORTLAND, OR 97202-3371
(541) 360-8475
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1568749216
CA
Other
Enumeration date
11/09/2011
Last updated
10/28/2021
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