Healthcare Provider Details

I. General information

NPI: 1316744477
Provider Name (Legal Business Name): JODIE LYNN SOLBERG CHT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/26/2025
Last Update Date: 07/25/2025
Certification Date: 07/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7558 PRESSENTIN RANCH DR
CONCRETE WA
98237-8803
US

IV. Provider business mailing address

PO BOX 247
CONCRETE WA
98237-0247
US

V. Phone/Fax

Practice location:
  • Phone: 425-608-1867
  • Fax: 425-845-2375
Mailing address:
  • Phone: 425-608-1867
  • Fax: 425-845-2375

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberHP61019271
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License NumberHP61019271
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License NumberBDC.BD.70032267
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: