SANDY ISAAC BOULES – NPI #1245106566
Pharmacist

Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.

SANDY ISAAC BOULES is a pharmacist located in PORTLAND, OR. NPPES has assigned the NPI number 1245106566 to SANDY ISAAC BOULES on October 14, 2025. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 1835P0018X from the Health Care Provider Taxonomy code set, which is classified as Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SANDY ISAAC BOULES below.

NPI Profile for
SANDY ISAAC BOULES

NPI Number
1245106566
Enumeration Date

(about 8 months ago)
Entity Type
Type-1  Individual (Female)
Legal Name
SANDY ISAAC BOULES
Primary location
14700 SE DIVISION ST
PORTLAND, OR 97236-2381
Phone: (503) 762-4436 Fax:
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Oct 14, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
1835P0018X
- Pharmacist / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Primary)
OR RPH-0020751

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.