-- JEAN K BUTLER -- PNP
Individual Provider (NPI-1)
Active
Pediatrics
Provider Information
- NPI Number
1912111493- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PNP
- Status
- Active
Contact & Location
- Address
- 19500 SE STARK ST, PORTLAND, OR, 972335757
- Phone
- (503) 669-5046
Specialties & Taxonomies
Pediatrics
Primary License: OR #NP87006005N2
Pediatrics
License: WA #025804AP30003771
All Addresses
MAILING
4535 SUMMERLINN WAY
WEST LINN, OR, 970685116