Butler, Marilyn West

Butler, Marilyn West is an individual health care provider with primary practice located at 3181 Sw Sam Jackson Park Rd Mail Code Cdw7, Portland OR 97239-3011. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Surgery. Allopathic & Osteopathic Physicians / Pediatric Surgery is her primary health care specialty. Butler, Marilyn West can be contacted via phone (503) 494-7764.

Contact Information

Primary practice address
3181 Sw Sam Jackson Park Rd Mail Code Cdw7 Portland OR 97239-3011
Phone: (503) 494-7764
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X G83354 California
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X G83354 California

Profile Details

NPI number 1093788507
LBN Legal business name Butler, Marilyn West
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Nov 19th, 2012 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093788507 NPPES
California MEDICAID 00G833540

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