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Contact Information

JAMES BOOTH, MD
1111 CRATER LAKE AVE
MEDFORD, OR97504-6241
 Phone: 503-453-0475
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Pathology/Laboratory Medicine

207ZP0105X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for JAMES BOOTH · (Male)

NPI Number 1629297114
Status Active
Credentials MD
Entity Individual
Enumeration date 04/24/2007
Last updated 06/11/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • OR License # MD09301
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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