Provider Demographics
NPI:1023526423
Name:CLINE, HOPE ELIZABETH (PA-C)
Entity type:Individual
Prefix:
First Name:HOPE
Middle Name:ELIZABETH
Last Name:CLINE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2011 DELANCEY ST APT 3F
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19103-6553
Mailing Address - Country:US
Mailing Address - Phone:717-823-0058
Mailing Address - Fax:
Practice Address - Street 1:19393 SW LAURELHURST WAY
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97702-3192
Practice Address - Country:US
Practice Address - Phone:717-823-0058
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-19
Last Update Date:2018-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant