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

Ethan Oftedahl

Individual provider Peer Specialist · NPI 1003769779

Ethan Oftedahl is a Peer Specialist in Fargo, North Dakota. Licensed in North Dakota. Registered with an NPI since 2026.

Licensed in
ND
In the registry since
2026

Practice location Address checks out

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

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

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence 837 (ND)

Record details

NPI number1003769779
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedFebruary 20, 2026
Last updated in NPPESFebruary 20, 2026
Certification dateFebruary 20, 2026
Mailing address921 2nd Ave S, Fargo, ND 58103-1705

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