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Individual

WILLIAM BUTTERFIELD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
1015 NW 22ND AVE, PORTLAND, OR 97210-3025
(310) 486-4675
Mailing address
914 MADISON ST, OREGON CITY, OR 97045-1931
(310) 486-4675

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
202113819
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A951484
OREGON STATE DRIVER LICENSE
OR
Enumeration date
02/22/2023
Last updated
02/22/2023
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