P Praxis·MD
● Active Type 1 · Individual

Cynthia Soderberg

Specialist/Technologist·Moscow, ID· NPI 1386461093 · Enumerated 2024 · 1 years on NPI
Soderberg is 1 of 2 specialist/technologist providers in Moscow and 1 of 4 in Idaho.
NPI age
1 years
Enumerated 2024-09-24
Primary specialty
Specialist/Technologist
Licensed in
0 states
Status
Active
No deactivations on record
Last NPPES update
2024-09-24
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 4 active specialist/technologist providers in Idaho.

NPI age
1 years
↓ 5 yr below median (6 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
0% of peers hold subspecialties

NPI lifetime · 2024 → 2026

2024-09Enumerated in NPPES
2024 2026

Where they practice

Practice location
1036 Aponi Pl
Moscow, ID 838430936
📞 2087245733
Mailing address
1290 Indian Hills Dr Apt 101
Moscow, ID 838435123

Specialties

  • Specialist/Technologist Primary
    General classification identifying individuals who are trained on a specific piece of equipment or technical procedure.
    taxonomy 235500000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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