Provider Demographics
NPI:1083876973
Name:BUTLER, TERRY L (RN)
Entity Type:Individual
Prefix:MS
First Name:TERRY
Middle Name:L
Last Name:BUTLER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:4800 SAND POINT WAY NE
Mailing Address - Street 2:M/S M1-6 P.O. BOX 5371
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98105-3901
Mailing Address - Country:US
Mailing Address - Phone:206-987-5418
Mailing Address - Fax:206-987-5162
Practice Address - Street 1:4800 SAND POINT WAY NE
Practice Address - Street 2:OHS M/S M1-6
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-3901
Practice Address - Country:US
Practice Address - Phone:206-987-5418
Practice Address - Fax:206-987-5162
Is Sole Proprietor?:No
Enumeration Date:2008-07-01
Last Update Date:2008-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA00135649163WX0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WX0106XNursing Service ProvidersRegistered NurseOccupational Health