Provider Demographics
NPI:1144641549
Name:OLBERG, ASHLEY (ND)
Entity type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:
Last Name:OLBERG
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 GOVERNORS LN STE B
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95926-5514
Mailing Address - Country:US
Mailing Address - Phone:530-715-2115
Mailing Address - Fax:530-433-5687
Practice Address - Street 1:4 GOVERNORS LN STE B
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926
Practice Address - Country:US
Practice Address - Phone:530-715-2115
Practice Address - Fax:530-433-5687
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-02
Last Update Date:2018-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR2010175F00000X
CAND907175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath