Individual provider · Type 1 NPI

Derek Scott Ahlstrom, PA

Physician Assistant · Boise, ID

NPI number 1174096606 Active

Practice location

7941 W Rifleman St
Boise, ID 83704-9001

Mailing address

1650 S Topaz Way
Meridian, ID 83642-4474

Other practice locations

  • 9292 W Barnes Dr, Boise, ID 83709-1554 · (208) 795-3515
  • 6600 W Emerald St, Boise, ID 83704-8738 · (208) 609-9020
  • 2335 E State Ave, Meridian, ID 83642-8808 · (208) 672-1801
  • 924 S Pines Rd Ste 101, Spokane Valley, WA 99206-5423 · (509) 299-8160
  • 2111 N Northgate Way Ste 100, Seattle, WA 98133-9018 · (425) 502-9945
  • 2111 N Northgate Way Ste 101, Seattle, WA 98133-9018 · (206) 309-3740
  • 7416 212th St SW, Edmonds, WA 98026-7602 · (425) 245-5800
  • 847 Parkcentre Way Ste 7, Nampa, ID 83651-1794 · (208) 229-6050

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA61522965 (WA)
Physician Assistant Primary 363A00000XPA-1715 (ID)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1174096606

Derek Scott Ahlstrom, PA's National Provider Identifier is 1174096606, issued on Jan 8, 2019. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Boise, ID. The record was last updated on Mar 28, 2024.