Marilyn J Booth
Family Doctor Obstetrician
3305 19th Ave
Forest Grove
, Oregon 97116-1909
Marilyn J Booth
Family Doctor Obstetrician
3305 19th Ave
Forest Grove
, Oregon 97116-1909
(503) 357-5735
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About
Features
Specialties
- Family Doctor
- Obstetrician
Languages spoken
- English
Location
First Address
- Marilyn J Booth
- 3305 19th Ave
- Forest Grove, OR
- Zip : 97116-1909
- Fax : (503) 357-5735
- Phone : (503) 357-7194
Second Address
- Marilyn J Booth
- 3305 19th Ave
- Forest Grove, OR
- Zip : 97116-1909
- Fax : (503) 357-5735
- Phone : (503) 357-7194
Reviews
FAQs
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What type of doctor is Marilyn J Booth
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Where is Marilyn J Booth ’s practice located?
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Is Marilyn J Booth a sole practitioner?
Is Marilyn J Booth accepting new patients?
What languages does Marilyn J Booth speak?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | MD13329 | OR |
| N | 207VX0000X | Obstetrician | MD13329 | OR |
National Provider Identifier
| NPI | 1225057011 |
|---|---|
| Provider Name | Marilyn J Booth |
| First Address | Forest Grove, OR 97116-1909 |
| Second Address | Forest Grove, OR 97116-1909 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/07/2006 |
| Last Update Date | 11/02/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 020711000 | BC (01) | OR |
| 26676-7 | (05) | OR |
| C92249 | (02) | OR |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.