Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SAMUEL KIMBALL BOOTH DO
NPI 1972208700
Internal Medicine in Portland, OR

Active since April 03, 2023
9205 SW BARNES RD, PORTLAND, OR 97225(503) 216-2906 Get Directions Write a Review

NPPES record last updated: July 28, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 28, 2026, Apr 3, 2023 (2 updates tracked since 2023).

About Samuel Kimball Booth Do NPPES

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

SAMUEL KIMBALL BOOTH DO (NPI 1972208700) is an individual internal medicine provider in Portland, Oregon, licensed in Oregon (DO230368) and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1972208700
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSAMUEL KIMBALL BOOTHCredential: DO
Location Address9205 SW BARNES RDPortland, OR 97225-6603
Mailing Address9205 Sw Barnes RdPortland, OR 97225-6603 · (503) 216-2906
Sole ProprietorNo
Enumeration DateApril 3, 2023
Last NPPES UpdateJuly 28, 20262 updates tracked since enumeration
NPPES CertifiedJuly 28, 2026
NPI 1972208700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in OR · DO230368
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
9205 SW BARNES RD, Portland, OR 97225

Other Providers at the Same Location NPPES 20

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

Hospitalist
9205 SW BARNES RD
PORTLAND, OR 97225
Pharmacist
9205 SW BARNES RD
PORTLAND, OR 97225
Nurse Anesthetist, Certified Registered
9205 SW BARNES RD
PORTLAND, OR 97225
Physical Therapist
9205 SW BARNES RD
PORTLAND, OR 97225
Counselor (Mental Health)
9205 SW BARNES RD
PORTLAND, OR 97225
Hospitalist
9205 SW BARNES RD
PORTLAND, OR 97225
Radiology (Vascular & Interventional Radiology)
9205 SW BARNES RD
PORTLAND, OR 97225
Pathology (Anatomic Pathology & Clinical Pathology)
9205 SW BARNES RD
PORTLAND, OR 97225

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Booth's NPI number?

The NPI number for Samuel Booth is 1972208700. It was assigned to this individual provider in the NPPES registry on April 3, 2023.

Where is Samuel Booth located?

Samuel Booth practices at 9205 SW Barnes Rd, Portland, OR 97225. The listed phone number is (503) 216-2906.

What is Samuel Booth's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Samuel Booth was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.