Marilyn J Booth Md | |
3305 19th Ave Forest Grove OR 97116-1909 | |
(503) 357-7194 | |
(503) 357-5735 |
Full Name | Marilyn J Booth Md |
---|---|
Speciality | Family Medicine |
Location | 3305 19th Ave, Forest Grove, Oregon |
Authorized Official Name and Position | Marilyn J Booth (OWNER) |
Authorized Official Contact | 5033577194 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Marilyn J Booth Md 3305 19th Ave Forest Grove OR 97116-1909 Ph: (503) 357-7194 | Marilyn J Booth Md 3305 19th Ave Forest Grove OR 97116-1909 Ph: (503) 357-7194 |
NPI Number | 1265586317 |
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Provider Enumeration Date | 01/23/2007 |
Last Update Date | 03/23/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265586317 | NPI | - | NPPES |
26676-7 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD13329 (Oregon) | Primary |
Geneva Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3838 Pacific Ave, Forest Grove, OR 97116 Phone: 503-992-0288 Fax: 503-359-4724 | |
Maple Street Clinic, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1825 Maple St, Forest Grove, OR 97116 Phone: 503-357-2136 Fax: 503-359-5479 | |
Main Street Dental Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2016 Main St, Forest Grove, OR 97116 Phone: 503-357-3711 Fax: 503-992-1939 | |
Bours Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3303 19th Ave, Forest Grove, OR 97116 Phone: 503-357-6119 Fax: 503-359-5750 | |
Northwest Pain Institute Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2005 Cedar St, Forest Grove, OR 97116 Phone: 503-883-8297 | |
Mountain View Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1909 Mountain View Ln, #200, Forest Grove, OR 97116 Phone: 503-359-4773 Fax: 503-359-3809 |