Lita Buttolph, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC188773 Issued in OR

Practice address

3007 SE Belmont St
Portland, OR 97214-4026

Phone

(503) 445-7115

Fax

(503) 445-7116

NPI assigned

Aug 28, 2018

Last updated

Mar 12, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Vital Life Acupuncture Clinic, LLC

  dba Lita Buttolph

  • Clinic/Center
  • Portland, OR
  • NPI 1679041602
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1535414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647043200000",
    "number": "1679054472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6322 SE 46TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972067039",
            "telephone_number": "503-358-0739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3007 SE BELMONT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972144026",
            "telephone_number": "503-445-7115",
            "fax_number": "503-445-7116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3903 SW Kelly Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972394385",
            "country_code": "US",
            "telephone_number": "503-227-2431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUTTOLPH",
        "first_name": "LITA",
        "name_prefix": "Dr.",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-28",
        "last_updated": "2022-03-12",
        "certification_date": "2022-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC188773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Julian Butterfield, D.C.
• Tami Butterfield, CNS
• William Butterfield, RN
• Sonia A Butterworth, MD
• Baher S R Butti, QMHP-C
• Dana A Button
• Erik V Button, DPT
• Gavin John Button, MD
• Jeanne H Button, MD
• Morris Button, MD

• Acupuncturist in Portland, OR
• Providers in Portland, OR by specialty
• Acupuncturist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.