Individual
MARTHE BUTZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1708 E. 44TH STREET, TACOMA, WA 98404
(253) 471-4553
(253) 474-5395
Mailing address
101 E 26TH ST, TACOMA, WA 98421-1108
(253) 597-4550
(256) 372-2154
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10004085
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8148322
—
WA
Enumeration date
07/15/2006
Last updated
07/27/2009
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