Individual
TARA ANN BUTTENOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-6600
(206) 515-5886
Mailing address
1100 9TH AVE, MS M4-PA, SEATTLE, WA 98101-2756
(206) 583-6025
(206) 515-5883
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
60003477
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039584
LABOR AND INDUSTRIES #
WA
01
—
9075FR
BLUE SHIELD #
WA
Enumeration date
03/31/2008
Last updated
05/04/2016
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