Healthcare Provider Details

I. General information

NPI: 1386028819
Provider Name (Legal Business Name): ASHLEY HOPPE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2015
Last Update Date: 07/07/2020
Certification Date: 07/07/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4815 N ASSEMBLY ST
SPOKANE WA
99205-6185
US

IV. Provider business mailing address

5826 JERGENS RD
NINE MILE FALLS WA
99026-9526
US

V. Phone/Fax

Practice location:
  • Phone: 509-434-7026
  • Fax:
Mailing address:
  • Phone: 707-849-8740
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP61011707
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN61011706
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: