Individual
ASHLEE BETH MITCHELL VON BUTTLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
9155 SW BARNES RD STE 634, PORTLAND, OR 97225-6632
(971) 345-5060
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
3339
OR
103TC0700X
Clinical Psychologist
3339
OR
Other
Enumeration date
02/26/2018
Last updated
12/14/2021
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