Individual
KENNETH P BUTTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 COBURG RD, EUGENE, OR 97401-2433
(541) 485-8111
(541) 868-0883
Mailing address
55 COBURG RD, EUGENE, OR 97401-2433
(541) 485-8111
(541) 868-0883
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD12437
OR
207XS0106X
Orthopaedic Hand Surgery Physician
MD12437
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200010484
MC RAILROAD
OR
05
—
234617
—
OR
Enumeration date
07/07/2005
Last updated
01/09/2023
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