Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Samuel Kimball Booth, DO

Individual provider Internal Medicine Physician · NPI 1972208700

Samuel Kimball Booth, DO is an Internal Medicine Physician in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2023.

Licensed in
OR
In the registry since
2023
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

9205 SW Barnes Rd
Portland, OR 97225-6603
Phone: (503) 216-2906
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence DO230368 (OR)

Record details

NPI number1972208700
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 3, 2023
Last updated in NPPESJuly 28, 2026
Certification dateJuly 28, 2026
Mailing address9205 Sw Barnes Rd, Portland, OR 97225-6603

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