Search › Idaho › 363A00000X
Derek Ahlstrom, PA
NPI 1174096606 · on the registry since 2019
Practice
- Address
- 7941 W Rifleman St
Boise, ID 83704 - Phone
- (208) 895-7950
- Organisation at this address
- Ashwood Recovery Llc
Ashwood Recovery LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 11
Additional practice sites
- 6600 W Emerald St, Boise, ID
- 2335 E State Ave, Meridian, ID
- 9292 W Barnes Dr, Boise, ID
- 7416 212th St Sw, Edmonds, WA
- 924 S Pines Rd Ste 101, Spokane Valley, WA
- 2111 N Northgate Way Ste 101, Seattle, WA
- 2111 N Northgate Way Ste 100, Seattle, WA
- 847 Parkcentre Way Ste 7, Nampa, ID
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- WA, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-03-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho