Butler, Jay Brad V

Butler, Jay Brad V is an individual health care provider with primary practice located at 11782 Sw Barnes Rd Ste 300, Portland OR 97225-5914. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Butler, Jay Brad V can be contacted via phone (503) 214-5200.

Contact Information

Primary practice address
11782 Sw Barnes Rd Ste 300 Portland OR 97225-5914
Phone: (503) 214-5200
Fax: (503) 906-6613
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD19035 Oregon
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD19035 Oregon
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD19035 Oregon

Profile Details

NPI number 1740204049
LBN Legal business name Butler, Jay Brad V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Nov 10th, 2021 - about 5 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 1740204049 NPPES
Oregon Other MD19035 MEDICAL LICENSE
Oregon MEDICAID 128384 MEDICAL LICENSE

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