Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | MD24519 | OR |
N | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | MD60636024 | WA |
NPI | 1881615102 |
---|---|
Provider Name | Sarah Hamilton Boyles |
First Address | Portland, OR 97232 |
Second Address | Portland, OR 97225-6634 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2006 |
Last Update Date | 18/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
006054 | (05) | OR |
2040385 | (05) | WA |
H95351 | (02) | OR |