Individual
MRS. KATHY MARTILLA BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C.
Contact information
Practice address
2685 4TH ST NE, SALEM, OR 97303-6548
(503) 540-0288
(503) 540-0293
Mailing address
PO BOX 2613, SALEM, OR 97308-2613
(503) 540-0288
(503) 540-0293
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00819
OR
Other
Enumeration date
08/18/2006
Last updated
07/08/2007
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