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

Odland Family Practice Clinic, LLC

Organization Family Medicine Physician · NPI 1114269313

Odland Family Practice Clinic, LLC is a Family Medicine Physician in Wasilla, Alaska. Licensed in Alaska. Registered with an NPI since 2013.

Licensed in
AK
In the registry since
2013
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

950 E Bogard Rd Ste 234
Wasilla, AK 99654-7184
Phone: (907) 355-0850
Fax: (907) 373-0117
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 955730 (AK)

Record details

NPI number1114269313
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shannon Pendergrass — Billing Manager · (907) 355-0850
NPI enumeratedMarch 26, 2013
Last updated in NPPESMarch 26, 2013
Mailing address950 E Bogard Rd, Suite 234, Wasilla, AK 99687-9481

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