Marilyn J Booth MD
NPI #1265586317 in Forest Grove, Oregon
Provider Information
- NPI Number
- 1265586317
- Entity Type
- Organization
- Organization Name
- Marilyn J Booth MD
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jan 23, 2007
- Last Updated
- Mar 23, 2008
Practice Location
- Address
- 3305 19TH AVE
- City
- Forest Grove
- State
- Oregon
- ZIP Code
- 97116-1909
- Phone
- (503) 357-7194
Authorized Official
- Name
- MARILYN J BOOTH, MD
- Title
- OWNER
- Phone
- (503) 357-7194
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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