IndividualActive
Ethan Oftedahl
NPI 1003769779 · Peer Specialist · Fargo, ND
Provider details
- NPI number
- 1003769779
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Sole proprietor
- No
- License
- 837 (ND)
Practice location
921 2nd Ave S
Fargo, ND 58103-1705
Phone: (701) 361-9922
Fax: (701) 829-7140
Mailing address
921 2nd Ave S
Fargo, ND 58103-1705
Registry dates
- Enumerated
- 2026-02-20
- Last updated
- 2026-02-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.