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-- MARILYN J BOOTH -- M.D.

Individual Provider (NPI-1) Active

Family Medicine

Provider Information

NPI Number
1225057011
Provider Type
Individual Provider (NPI-1)
Credentials
M.D.
Status
Active

Contact & Location

Address
3305 19TH AVE, FOREST GROVE, OR, 971161909
Phone
(503) 357-7194
Fax
(503) 357-5735

Specialties & Taxonomies

Family Medicine Primary License: OR #MD13329
Obstetrics & Gynecology, Obstetrics License: OR #MD13329

All Addresses

MAILING

3305 19TH AVE

FOREST GROVE, OR, 971161909

(503) 357-7194

LOCATION

3305 19TH AVE

FOREST GROVE, OR, 971161909

(503) 357-7194