MARILYN J BOOTH MD
NPI 1265586317
Family Medicine in Forest Grove, OR

Q: What is Marilyn J Booth MD's NPI number?

The NPI number for Marilyn J Booth MD is 1265586317. It was assigned to this organization in the NPPES registry on January 23, 2007.

Q: What is Marilyn J Booth MD's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since January 23, 2007

3305 19TH AVE, FOREST GROVE, OR 97116(503) 357-7194(503) 357-5735 Get Directions Write a Review

NPPES record last updated: March 23, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Marilyn J Booth Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARILYN J BOOTH MD (NPI 1265586317) is a healthcare organization registered as a family medicine in Forest Grove, Oregon and active in the NPI registry since January 2007. The organization lists Marilyn J Booth, Owner, as its authorized official.

NPPES Registry Identity

NPI1265586317

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameMARILYN J BOOTH MD

Location Address3305 19TH AVEForest Grove, OR 97116-1909

Mailing Address3305 19th AveForest Grove, OR 97116-1909 · (503) 357-7194 · Fax (503) 357-5735

Phone(503) 357-7194

Fax(503) 357-5735

Organization SubpartNo

Authorized OfficialMarilyn J BoothOwner · (503) 357-7194

Enumeration DateJanuary 23, 2007

Last NPPES UpdateMarch 23, 2008

✔ NPI 1265586317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in OR · MD13329

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 is not limited by age, sex, organ system, or disease entity.

3305 19TH AVE, Forest Grove, OR 97116

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Other Identifiers 3

Medicaid26676-7OR

Medicare PINR104348OR

Medicare UPINC92249OR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JANICE A TSUCHIDA FNP

Nurse Practitioner (Family)