Ashley Soderstrom
Specialist in Moorhead, MN. Individual provider (NPI-1).
NPI number1982502878
StatusActive
Last updated in NPPESOct 29, 2026
Details
- NPI
- 1982502878
- Entity type
- Individual (NPI-1)
- Name
- Ashley Soderstrom
- Sole proprietor
- No
- Enumeration date
- Oct 29, 2026
- Certification date
- Oct 29, 2026
- Last updated
- Oct 29, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
Practice location
1505 30th Ave SMoorhead, MN 56560-5149
Phone 218-287-4338
Mailing address
1505 30th Ave SMoorhead, MN 56560-5149
Phone 218-287-4338
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