Healthcare Provider Details

I. General information

NPI: 1497265664
Provider Name (Legal Business Name): SARAH PORTERFIELD PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH HOHBEIN PA-C

II. Dates (important events)

Enumeration Date: 10/02/2017
Last Update Date: 09/16/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6350 W 143RD ST STE 102
SAVAGE MN
55378-2890
US

IV. Provider business mailing address

2925 CHICAGO AVE
MINNEAPOLIS MN
55407-1321
US

V. Phone/Fax

Practice location:
  • Phone: 952-428-1000
  • Fax: 952-428-0499
Mailing address:
  • Phone: 952-428-1000
  • Fax: 952-428-0499

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number15150
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: