Healthcare Provider Details

I. General information

NPI: 1497046072
Provider Name (Legal Business Name): SARAH ELIZABETH HIPKENS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2011
Last Update Date: 09/17/2025
Certification Date: 09/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

576 SAINT JOHN ST
PORTLAND ME
04102-2710
US

IV. Provider business mailing address

576 SAINT JOHN ST
PORTLAND ME
04102-2710
US

V. Phone/Fax

Practice location:
  • Phone: 207-661-0700
  • Fax: 207-536-6720
Mailing address:
  • Phone: 207-661-0700
  • Fax: 207-536-6720

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License NumberMD25329
License Number StateME
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD25329
License Number StateME
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number277151
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: