Individual
JOHN ALAN BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19250 SW 65TH AVE, SUITE 135, TUALATIN, OR 97062-7452
(503) 692-8560
(503) 692-8562
Mailing address
847 NE 19TH AVE, SUITE 300, PORTLAND, OR 97232-2684
(503) 963-2801
(503) 963-2825
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
MD152409
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500625538
—
OR
Enumeration date
08/17/2006
Last updated
04/07/2016
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