Individual
COLLENA BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1112 6TH AVE STE 301, TACOMA, WA 98405-4048
(253) 403-6750
(253) 403-6751
Mailing address
PO BOX 5299, MS: 820-5-PCO, TACOMA, WA 98415-0299
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP61068733
WA
207VX0000X
Obstetrics Physician
OP61068733
WA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/24/2020
Last updated
03/25/2026
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