Individual
DR. JAMES BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1111 CRATER LAKE AVE, MEDFORD, OR 97504-6241
(503) 453-0475
Mailing address
4400 NE HALSEY ST, PORTLAND, OR 97213-1545
(503) 453-0475
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
MD09301
OR
Other
Enumeration date
04/24/2007
Last updated
06/11/2015
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