| NPI | 1760144166 |
|---|---|
| Other Name | KIMBERLY SUE BUTLER |
| Other Name | OREGON PSYCH NP, LLC |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY SUE BUTLER Managing Member 541-382-1395 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-10-13 |
| Last Update Date | 2021-10-13 |