MARILYN WEST BUTLER MD NPI 1093788507

NPI Information

NPI: 1093788507
Provider Name: MARILYN WEST BUTLER, MD
Classification: Surgery - 2086S0120X
Entity Type: Individual

Specialization: Pediatric Surgery

PECOS Registration: Yes

Address:
3181 SW SAM JACKSON PARK RD
MAIL CODE CDW7
PORTLAND, OR
ZIP 97239
Phone: (503) 494-7764
Get Directions

Marilyn West Butler, MD is a pediatric surgery surgery in Portland, OR. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. Marilyn West Butler, MD NPI is 1093788507. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3181 SW SAM JACKSON PARK RD
MAIL CODE CDW7
PORTLAND, OR
ZIP 97239-011
Phone: (503) 494-7764

The NPI 1093788507 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/7/2006 and was last updated on 11/19/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		G83354	CALIFORNIA	No
2	2086S0120X	Surgery	Pediatric Surgery	G83354	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	00G833542	MEDICARE PIN	CALIFORNIA
2	G46367	MEDICARE UPIN	CALIFORNIA
3	00G833540	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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