Individual
JEAN K BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
19500 SE STARK ST, PORTLAND, OR 97233-5757
(503) 669-5046
Mailing address
4535 SUMMERLINN WAY, WEST LINN, OR 97068-5116
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
025804AP30003771
WA
208000000X
Pediatrics Physician
Primary
—
OR
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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