Jencina M Butler in Portland - Family Medicine

Jencina M Butler - NPI 1295823847

Jencina M Butler is a Family Medicine in Portland, Oregon. Jencina M Butler practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jencina M Butler is 1295823847. The last update date is 2011-11-10.

Jencina M Butler's current location address is 12518 Ne Airport Way Ste 110, Portland, Oregon. You can contact this provider via phone number 5032562992 and fax number 5032580717. The mailing address for Jencina M Butler is 12518 Ne Airport Way Ste 110, Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Jencina M Butler
Address 12518 Ne Airport Way Ste 110, Portland, Oregon
Phone Number 5032562992
Fax Number 5032580717
Sole Proprietor N
Credentials DO

NPI Number Detail

NPI Number 1295823847
Provider Enumeration Date 2006-10-10
Last Updated Date 2011-11-10

Provider Mailing Address Detail

Address 12518 Ne Airport Way Ste 110
City Portland
State Oregon (OR)
Post Code 972301090
Phone Number 5032562992
Fax Number 5032580717

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No OP00002071
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8449662 WA --
210973 DEPT OF LABOR & INDUST
G8859148 OR --

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FAQs about Jencina M Butler

What is the unique 10-digit identifier code assigned to Jencina M Butler by the Centers for Medicare & Medicaid Services?

The Jencina M Butler has been issued the NPI (National Provider Identifier) 1295823847 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Jencina M Butler is geographically located?

The Jencina M Butler is physically situated at the following location: 12518 Ne Airport Way Ste 110, Portland, OR, 972301090.

What is Jencina M Butler's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Jencina M Butler is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.

On what date did Jencina M Butler receive its 1295823847 assignment from the Centers for Medicare & Medicaid Services?

The Jencina M Butler was assigned its 1295823847 on 2006-10-10, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Jencina M Butler most recently updated?

The details pertaining to the Jencina M Butler, including its address, specialty, and other relevant information, were last refreshed on 2011-11-10.

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