NPI 1003769779

Ethan Oftedahl

Practitioner Peer Specialist Fargo, ND

Practice location

Address: 921 2nd Ave S, Fargo, ND 58103-1705
Phone: (701) 361-9922
Fax: (701) 829-7140

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X Licence 837 (ND)

Other Peer Specialist providers in North Dakota →

Registry record

NPI: 1003769779
Entity type: Individual
Sex (as registered): X
NPI issued: 20 Feb 2026
Record last updated: 20 Feb 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.