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:
Health care specialties
| Specialty | Code | License # | 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 12 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 | 1093788507 | NPPES |
| California | MEDICAID | 00G833540 |
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