Individual
JODIE BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
208 STATE STREET, HOOD RIVER, OR 97031-9788
(971) 299-1275
Mailing address
208 STATE STREET STE 4, HOOD RIVER, OR 97031-1720
(971) 299-1275
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
163W00000X
Registered Nurse
200743391RN
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1831737246
OR
Other
Enumeration date
12/16/2019
Last updated
06/07/2023
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