Healthcare Provider Details

I. General information

NPI: 1508850967
Provider Name (Legal Business Name): MORRIS BUTTON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2005
Last Update Date: 01/15/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5051 SE HAWTHORNE BLVD
PORTLAND OR
97215-3255
US

IV. Provider business mailing address

5051 SE HAWTHORNE BLVD
PORTLAND OR
97215-3255
US

V. Phone/Fax

Practice location:
  • Phone: 503-234-9287
  • Fax: 503-239-8186
Mailing address:
  • Phone: 503-234-9287
  • Fax: 503-239-8186

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0105X
TaxonomySurgery of the Hand (Surgery) Physician
License Number8383
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: