MARILYN WEST BUTLER MD
NPI 1093788507
Surgery - Pediatric Surgery in Portland, OR

Active since February 07, 2006PECOS Enrolled
3181 SW SAM JACKSON PARK RD, MAIL CODE CDW7, PORTLAND, OR 97239(503) 494-7764 Get Directions Write a Review

NPPES record last updated: July 30, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Marilyn West Butler Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARILYN WEST BUTLER MD (NPI 1093788507) is an individual pediatric surgery provider in Portland, Oregon, licensed in Arkansas (E-17925) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Springdale.

NPPES Registry Identity

NPI1093788507
Entity TypeIndividualFemale
Primary Taxonomy2086S0120X
Provider Legal NameMARILYN WEST BUTLERCredential: MD
Location Address3181 SW SAM JACKSON PARK RD, MAIL CODE CDW7Portland, OR 97239-3011
Mailing Address3181 Sw Sam Jackson Park Rd, Mail Code Cdw7Portland, OR 97239-3011 · (503) 494-7764
Sole ProprietorNo
Enumeration DateFebruary 7, 2006
Last NPPES UpdateJuly 30, 2024
NPPES CertifiedJuly 30, 2024
NPI 1093788507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
Licenses Licensed in AR · E-17925 Licensed in CA · G83354
Definition

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

Also ListedPediatricsTaxonomy 208000000X · License G83354 (CA)
Also ListedSurgeryTaxonomy 208600000X · License E-17925 (AR)
3181 SW SAM JACKSON PARK RD, Portland, OR 97239

Secondary Practice Location 1

Location 12601 Gene George BlvdSpringdale, AR 72762-0845 · Phone (479) 725-6800 · Fax (479) 725-6582

Other Identifiers 1

Medicaid00G833540CA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Marilyn West Butler Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Pulmonary Disease)
3181 SW SAM JACKSON PARK RD, UHN67
PORTLAND, OR 97239
Nurse Practitioner (Acute Care)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Internal Medicine
3181 SW SAM JACKSON PARK RD, PPV 350
PORTLAND, OR 97239
Psychologist (Clinical)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Massage Therapist
3181 SW SAM JACKSON PARK RD, 7D19
PORTLAND, OR 97239
Psychiatry & Neurology (Psychiatry)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Radiology (Diagnostic Radiology)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Student in an Organized Health Care Education/Training Program
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marilyn Butler's NPI number?

The NPI number for Marilyn Butler is 1093788507. It was assigned to this individual provider in the NPPES registry on February 7, 2006.

Where is Marilyn Butler located?

Marilyn Butler practices at 3181 SW Sam Jackson Park Rd Mail Code Cdw7, Portland, OR 97239. The listed phone number is (503) 494-7764.

What is Marilyn Butler's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Is Marilyn Butler enrolled in Medicare?

Yes. Marilyn Butler is registered in the Medicare PECOS enrollment system.

What insurance does Marilyn Butler accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 6 other insurers list Marilyn Butler as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Marilyn Butler was last updated on July 30, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.