Individual
MARY E. BUTCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
451 DUVALL AVE NE, STE 100, RENTON, WA 98059-4675
(425) 656-5500
(425) 656-5542
Mailing address
3600 LIND AVE SW, STE 100, RENTON, WA 98055-4934
(425) 656-5412
(425) 656-5423
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
MD00019355
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1100809
—
WA
Enumeration date
06/29/2006
Last updated
09/19/2012
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