Portia Lynn Butler
Individual provider Active NPI Counselor · Okmulgee, OK
NPI 1962727263 · NPPES record last updated Mar 30, 2010
Key facts
- NPI
- 1962727263
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 1950 N Okmulgee
Okmulgee, OK 74447-6534 - Phone
- (918) 756-7700
- Fax
- (918) 756-3347
- NPI assigned
- Mar 30, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Okmulgee-Okfuskee County Youth Services, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
1950 N Okmulgee
Okmulgee, OK 74447-6534
Mailing address
1950 N Okmulgee
Okmulgee, OK 74447-6534
Phone (918) 756-7700
Other names
- Miss Portia Lynn Tarkington
Other providers in Okmulgee, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 30, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.