Provider Demographics
NPI:1881615102
Name:BOYLES, SARAH HAMILTON (MD)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:HAMILTON
Last Name:BOYLES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:BENSON
Other - Last Name:HAMILTON BOYLES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:847 NE19TH
Mailing Address - Street 2:SUITE 300
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97232
Mailing Address - Country:US
Mailing Address - Phone:503-963-2801
Mailing Address - Fax:503-963-2825
Practice Address - Street 1:9155 SW BARNES RD STE 735
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97225-6634
Practice Address - Country:US
Practice Address - Phone:503-297-4123
Practice Address - Fax:503-297-0344
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2021-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD24519207VF0040X
WAMD60636024207VF0040X, 207VG0400X, 207VF0040X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VF0040XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyUrogynecology and Reconstructive Pelvic Surgery
No207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR006054Medicaid
WA2040385Medicaid
ORMD24519OtherSTATE MEDICAL LICENSE
WA2040385Medicaid
WA2040385Medicaid
ORMD24519OtherSTATE MEDICAL LICENSE
OR006054Medicaid
WA8952682Medicare PIN