MEDICARE: SARAH BUTTS PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	PA205631	OR

General Provider Information

NPI Number	:	1306224761
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH BUTTS PA-C

Provider Business Mailing Address
First Line	:	PO BOX 1517
Second Line	:
City	:	PENDLETON
State	:	OR
Zip	:	97801-0410
Country	:	US
Telephone Number	:	877-708-1119
Fax Number	:	541-278-8349

Provider Business Practice Location Address
First Line	:	2255 NW SHEVLIN PARK RD STE B
Second Line	:
City	:	BEND
State	:	OR
Zip	:	97703-7195
Country	:	US
Telephone Number	:	541-706-3819
Fax Number	:	541-429-6659

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/18/2015
Last Update Date	:	03/09/2023

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Directions to “ SARAH BUTTS PA-C” Practice Location

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