| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
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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 |