NPI 1225057011

Marilyn J Booth, MD

Practitioner Family Medicine Physician Forest Grove, OR

Practice location

Address: 3305 19th Ave, Forest Grove, OR 97116-1909
Phone: (503) 357-7194
Fax: (503) 357-5735

Registered specialties (2)

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence MD13329 (OR)

Other Family Medicine providers in Oregon →

Obstetrics Physician

Allopathic & Osteopathic Physicians Taxonomy 207VX0000X Licence MD13329 (OR)

Other Obstetrics & Gynecology providers in Oregon →

Registry record

NPI: 1225057011
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Jul 2006
Record last updated: 11 Feb 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.