SAMUEL KIMBALL BOOTH

PORTLAND, OR
NPI1972208700
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: OR  DO230368)
Enumeration Date2023-04-03
Last Update Date2026-07-28
Business Address
SAMUEL KIMBALL BOOTH DO
9205 SW BARNES RD
PORTLAND, OR 97225-6603
Phone number: 503-216-2906
Mailing Address
SAMUEL KIMBALL BOOTH DO
9205 SW BARNES RD
PORTLAND, OR 97225-6603
Phone number: 503-216-2906