Provider Demographics
NPI:1265004329
Name:HOPPE, ATHENA SOPHIA
Entity Type:Individual
Prefix:
First Name:ATHENA
Middle Name:SOPHIA
Last Name:HOPPE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 CHILTON RD
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:WA
Mailing Address - Zip Code:98520-1206
Mailing Address - Country:US
Mailing Address - Phone:360-346-3014
Mailing Address - Fax:
Practice Address - Street 1:ELSON S. FLOYD COLLEGE OF MEDICINE
Practice Address - Street 2:14204 NE SALMON CREEK AVE, VLIB 210
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98683-9868
Practice Address - Country:US
Practice Address - Phone:360-346-3014
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-16
Last Update Date:2021-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program