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Ethan Oftedahl
NPI 1003769779 · Peer Specialist · Fargo, ND
Ethan Oftedahl is a Peer Specialist provider in Fargo, ND (NPI 1003769779).
Provider details
- NPI number
- 1003769779
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Sole proprietor
- No
- License
- 837 (ND)
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
921 2nd Ave S
Fargo, ND 58103-1705
Phone: (701) 361-9922
Fax: (701) 829-7140
Street-level locationGet directions
Mailing address
921 2nd Ave S
Fargo, ND 58103-1705
Registry dates
- Enumerated
- 2026-02-20
- Last updated
- 2026-02-20
- Certified
- 2026-02-20
Frequently asked questions
- What is Ethan Oftedahl's NPI number?
- Ethan Oftedahl's National Provider Identifier (NPI) is 1003769779, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ethan Oftedahl's specialty?
- Ethan Oftedahl is listed in the NPPES registry with a primary specialty of Peer Specialist (Other Service Providers).
- Where is Ethan Oftedahl located?
- Ethan Oftedahl's practice location on file with NPPES is 921 2nd Ave S, Fargo, ND 58103-1705.
- What is Ethan Oftedahl's phone number?
- The practice phone number listed in the NPPES registry for Ethan Oftedahl is (701) 361-9922.
- Is Ethan Oftedahl's NPI active?
- Yes — Ethan Oftedahl's NPI (1003769779) is active in the NPPES registry as of the last update on 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.