Provider Demographics
NPI:1801292107
Name:HOPPE, SARA G (PA)
Entity type:Individual
Prefix:MRS
First Name:SARA
Middle Name:G
Last Name:HOPPE
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Gender:F
Credentials:PA
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Mailing Address - Street 1:1698 E MCANDREWS RD STE 160
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:OR
Mailing Address - Zip Code:97504-5590
Mailing Address - Country:US
Mailing Address - Phone:541-732-7874
Mailing Address - Fax:541-732-7874
Practice Address - Street 1:1698 E MCANDREWS RD
Practice Address - Street 2:STE 160
Practice Address - City:MEDFORD
Practice Address - State:OR
Practice Address - Zip Code:97504-5589
Practice Address - Country:US
Practice Address - Phone:541-732-7874
Practice Address - Fax:541-732-7875
Is Sole Proprietor?:No
Enumeration Date:2014-11-13
Last Update Date:2021-03-15
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Provider Licenses
StateLicense IDTaxonomies
ORPA169582363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant