Provider Demographics
NPI:1578636437
Name:BUTTERFIELD, DONALD THOMAS (L AC)
Entity Type:Individual
Prefix:MR
First Name:DONALD
Middle Name:THOMAS
Last Name:BUTTERFIELD
Suffix:
Gender:M
Credentials:L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1314 CLEVELAND AVE
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:WA
Mailing Address - Zip Code:98273-4812
Mailing Address - Country:US
Mailing Address - Phone:360-336-3296
Mailing Address - Fax:360-336-3296
Practice Address - Street 1:1314 CLEVELAND AVE
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:WA
Practice Address - Zip Code:98273-4812
Practice Address - Country:US
Practice Address - Phone:360-336-3296
Practice Address - Fax:360-336-3296
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA00000036171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist