Butcher, Sharon D
Butcher, Sharon D is an individual health care provider with primary practice located at 2801 N Gantenbein Ave Ste 2225, Portland OR 97227-1623. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Butcher, Sharon D can be contacted via phone (503) 413-4505.Contact Information
Primary practice address
2801 N Gantenbein Ave Ste 2225
Portland OR 97227-1623
Phone: (503) 413-4505
Fax: (503) 413-4719
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 095006346N2 | Oregon |
Profile Details
NPI number | 1568437960 |
---|---|
LBN Legal business name | Butcher, Sharon D |
Credentials | Pediatric Nurse Practitioner (PNP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 20th, 2006 |
Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1568437960 | NPPES |
Oregon | MEDICAID | 100124 |
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