Provider Demographics
NPI:1922210574
Name:BUTORAC, GEORGE MILO II (DC)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:MILO
Last Name:BUTORAC
Suffix:II
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8215 19TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98115-4437
Mailing Address - Country:US
Mailing Address - Phone:206-632-0665
Mailing Address - Fax:
Practice Address - Street 1:2252 NE 65TH ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98115-7021
Practice Address - Country:US
Practice Address - Phone:206-526-9900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00033879111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor