STACY BUTLER (NPI# 1659799385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659799385 |
| Entity Type | Individual |
| Full Name | STACY BUTLER |
| Credential | M.D. |
| Practice Address |
545 Ne 47th Ave Ste 102 Portland OR 97213-2237 |
| Mailing Address |
Po Box 3158 Portland OR 97208-3158 |
| Practice Telephone | 5032156262 |
| Mailing Telephone | 5032156494 |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2019-12-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | MD187004 | OR | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 836 W Wellington Ave, Chicago, IL 606575147 | 7739751600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225246622 | Stacy Colombo Butler | Obstetrics & Gynecology | 6100 Harris Pkwy Ste 140, Fort Worth, TX 76132-4130 | 2007-05-18 |
| 1396741658 | Stacy Nadeen Butler | Dentist | 165 Miller St, Meriden, CT 06450-4256 | 2005-06-22 |
| 1205137791 | Stacy A. Butler | Counselor | 515 28 3/4 Rd, Grand Junction, CO 81501-5016 | 2010-11-15 |
| 1265746622 | Stacy Butler | Pharmacist | 388 Uvalde Rd, Houston, TX 77015-2213 | 2010-07-28 |
| Street Address |
545 NE 47TH AVE STE 102 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97213-2237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548362205 | Noelle Shipman Lefitz | Advanced Practice Midwife | 545 Ne 47th Ave Ste 102, Portland, OR 97213-2237 | 2006-09-02 |
| 1124480413 | Gabrielle Simone Alexander | Obstetrics & Gynecology | 545 Ne 47th Ave Ste 102, Portland, OR 97213-2237 | 2016-03-24 |
| 1891155677 | Carissa Marie St. Onge Carneiro | Advanced Practice Midwife | 545 Ne 47th Ave Ste 102, Portland, OR 97213 | 2016-03-07 |
| 1306166681 | Diana S. Divanji | Obstetrics & Gynecology | 545 Ne 47th Ave Ste 102, Portland, OR 97213-2237 | 2010-06-09 |
| 1124220389 | Kara R Johansen | Psychologist | 545 Ne 47th Ave Ste 102, Portland, OR 97213-2237 | 2007-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831715176 | Darnell Jackie Strong | Social Worker | 435 Ne 78th Ave 'strong Counseling Services', Portland, OR 97213 | 2020-06-23 |
| 1336775907 | Redpoint Physical Therapy and Performance LLC | Physical Therapist | 4200 Ne Flanders St Unit B, Portland, OR 97213 | 2020-03-16 |
| 1801431218 | Denise Dorgan-miller | Occupational Therapy Assistant | Providence Elder Place, 4400 Ne Halsey Suite 200, Portland, OR 97213 | 2019-11-08 |
| 1619435617 | Aspiration of Character Counseling Services, LLC | Counselor | 4424 Ne Glisan St, The Li Wellness Building, Second Floor, Portland, OR 97213 | 2019-03-08 |
| 1578049631 | Credena Health LLC | Pharmacy | 4805 Ne Glisan St Ste 11n321, Portland, OR 97213 | 2018-07-12 |
| 1023507795 | Karissa Lynn Schwartz | Speech-Language Pathologist | Providence Portland Medical Center, 4805 Ne Glisan St, Portland, OR 97213 | 2018-05-08 |
| 1861944506 | James Livingston Taylor | Chiropractor | 5212 Ne Sacremento St., Portland, OR 97213 | 2016-10-28 |
| 1962958520 | Caitlin Turner | Massage Therapist | 4317 Ne Tillamook St., Portland, OR 97213 | 2016-09-01 |
| 1326407008 | Julianna Vermeys | Counselor | 4605 Ne Fremont St., 209a, Portland, OR 97213 | 2016-02-23 |
| 1881059822 | Thomas Michael Barrett | Counselor | 5228 Ne Hoyt St. Bldg. B, Portland, OR 97213 | 2015-12-17 |
| Find all providers in zip 97213 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215396676 | Hanalore Griffiths | Obstetrics & Gynecology | 11750 Sw Barnes Rd Ste 300, Portland, OR 97225-5911 | 2016-02-14 |
| 1487057790 | William Russell Greene | Obstetrics & Gynecology | 2239 Ne 19th Ave, Portland, OR 97212-4616 | 2014-09-30 |
| 1538587654 | Gene De Haan | Obstetrics & Gynecology | 3350 N Interstate Ave, Obstretrics and Gynecology, Portland, OR 97227-3011 | 2014-04-04 |
| 1043650682 | Tuesday Elizabeth Pearson | Obstetrics & Gynecology | 2332 Nw Irving St., Portland, OR 97210 | 2013-06-27 |
| 1760820385 | John Ogorek | Obstetrics & Gynecology | 100 Brickhill Ave Ste 23, Portland, ME 04106-1999 | 2013-06-05 |
| 1841557170 | Eleonore Pettit Werner | Obstetrics & Gynecology | 84 Marginal Way Ste 900, Portland, ME 04101-2476 | 2012-04-11 |
| 1508152026 | Kelli Andersen | Obstetrics & Gynecology | 10000 Se Main St Ste 10, Portland, OR 97216-2441 | 2011-06-22 |
| 1831494087 | Katie Alton | Obstetrics & Gynecology | 3181 Sw Sam Jackson Park Rd # Uhn50, Portland, OR 97239-3011 | 2011-01-20 |
| 1386955037 | Chidimma Uche Abanulo | Obstetrics & Gynecology | 9701 Sw Banes Rd, Suite 150, Portland, OR 97225 | 2010-06-28 |
| 1982920393 | Leo Liu Han | Obstetrics & Gynecology | 3181 Sw Sam Jackson Park Road, Mailcode: L466, Oregon Health and Science University, Portland, OR 80045 | 2010-04-09 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.