Jay Brad V Butler in Portland - Specialist
Jay Brad V Butler - NPI 1740204049
Jay Brad V Butler is a Specialist in Portland, Oregon. Jay Brad V Butler practices all healthcare services and medical treatments related to Specialist. The NPI Number for Jay Brad V Butler is 1740204049. The last update date is 2021-11-10.
Jay Brad V Butler's current location address is 11782 Sw Barnes Rd, Portland, Oregon. You can contact this provider via phone number 5032145200 and fax number 5039066613. The mailing address for Jay Brad V Butler is 11782 Sw Barnes Rd, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jay Brad V Butler |
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Address | 11782 Sw Barnes Rd, Portland, Oregon |
Phone Number | 5032145200 |
Fax Number | 5039066613 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1740204049 |
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Provider Enumeration Date | 2006-07-27 |
Last Updated Date | 2021-11-10 |
Provider Mailing Address Detail
Address | 11782 Sw Barnes Rd |
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City | Portland |
State | Oregon (OR) |
Post Code | 972255914 |
Phone Number | 5032145200 |
Fax Number | 5039066613 |
Provider's Primary Taxonomy Detail
Speciality | Specialist |
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Taxonomy | 174400000X |
Licence No | MD19035 |
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
MD19035 | OR | MEDICAL LICENSE | |
128384 | OR | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jay Brad V Butler by the Centers for Medicare & Medicaid Services?
The Jay Brad V Butler has been assigned the NPI (National Provider Identifier) 1740204049 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Jay Brad V Butler is physically located?
The Jay Brad V Butler is situated at the following address: 11782 Sw Barnes Rd, Portland, OR 972255914.
What is Jay Brad V Butler's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jay Brad V Butler is Specialist, and the corresponding taxonomy classification code for this specialized field is 174400000X.
On what date did the Jay Brad V Butler receive its 1740204049 assignment from the Centers for Medicare & Medicaid Services?
The Jay Brad V Butler was assigned its 1740204049 by the Centers for Medicare & Medicaid Services on 2006-07-27.
As of what date was the information pertaining to Jay Brad V Butler, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jay Brad V Butler, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-11-10.
NPI Number: 1982607784
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