Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Derek Scott Ahlstrom, PA

Individual provider Physician Assistant · NPI 1174096606

Derek Scott Ahlstrom, PA is a Physician Assistant in Boise, Idaho. Works from 9 locations. Licensed in Idaho and Washington.

Licensed in
ID, WA
In the registry since
2019
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

7941 W Rifleman St
Boise, ID 83704-9001
Phone: (208) 895-7950
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (8)

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-1715 (ID)
Physician Assistant Taxonomy 363A00000X · Licence PA61522965 (WA)

Record details

NPI number1174096606
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 8, 2019
Last updated in NPPESMarch 28, 2024
Certification dateMarch 28, 2024

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