Marilyn J Booth Md in Forest Grove - Family Medicine
Marilyn J Booth Md - NPI 1265586317
Marilyn J Booth Md is a Family Medicine in Forest Grove, Oregon. Marilyn J Booth Md practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Marilyn J Booth Md is 1265586317. The last update date is 2008-03-23.
Marilyn J Booth Md's current location address is 3305 19th Ave, Forest Grove, Oregon. You can contact this provider via phone number 5033577194 and fax number 5033575735. The mailing address for Marilyn J Booth Md is 3305 19th Ave, Forest Grove, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Marilyn J Booth Md |
|---|---|
| Address | 3305 19th Ave, Forest Grove, Oregon |
| Phone Number | 5033577194 |
| Fax Number | 5033575735 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Booth J Marilyn |
| Credentials | MD |
| Telephone Number | 5033577194 |
NPI Number Detail
| NPI Number | 1265586317 |
|---|---|
| Provider Enumeration Date | 2007-01-23 |
| Last Updated Date | 2008-03-23 |
Provider Mailing Address Detail
| Address | 3305 19th Ave |
|---|---|
| City | Forest Grove |
| State | Oregon (OR) |
| Post Code | 971161909 |
| Phone Number | 5033577194 |
| Fax Number | 5033575735 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | MD13329 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 26676-7 | OR | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Marilyn J Booth Md by the Centers for Medicare & Medicaid Services?
The Marilyn J Booth Md has been assigned the NPI (National Provider Identifier) 1265586317 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Marilyn J Booth Md located?
The Marilyn J Booth Md is located at 3305 19Th Ave, Forest Grove, OR 971161909.
What is Marilyn J Booth Md's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Marilyn J Booth Md is Family Medicine, and the corresponding taxonomy classification code for this specialized field is 207Q00000X.
On what date did Marilyn J Booth Md receive its 1265586317 assignment from the Centers for Medicare & Medicaid Services?
The Marilyn J Booth Md was assigned its 1265586317 on 2007-01-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Marilyn J Booth Md most recently updated?
The details pertaining to the Marilyn J Booth Md, including its address, specialty, and other relevant information, were last refreshed on 2008-03-23.