Healthcare Provider Details
I. General information
NPI: 1144641549
Provider Name (Legal Business Name): ASHLEY OLBERG N.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 01/02/2014
Last Update Date: 09/07/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4 GOVERNORS LN STE B
CHICO CA
95926
US
IV. Provider business mailing address
4 GOVERNORS LN STE B
CHICO CA
95926-5514
US
V. Phone/Fax
- Phone: 530-715-2115
- Fax: 530-433-5687
- Phone: 530-715-2115
- Fax: 530-433-5687
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 175F00000X |
| Taxonomy | Naturopath |
| License Number | 2010 |
| License Number State | OR |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 175F00000X |
| Taxonomy | Naturopath |
| License Number | ND907 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: