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:
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Health care specialties

SpecialtyCodeLicense #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 19 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 1568437960 NPPES
Oregon MEDICAID 100124

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