Individual
ETHAN OFTEDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
921 2ND AVE S, FARGO, ND 58103-1705
(701) 361-9922
(701) 829-7140
Mailing address
921 2ND AVE S, FARGO, ND 58103-1705
(701) 361-9922
(701) 829-7140
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
837
ND
Other
Enumeration date
02/20/2026
Last updated
02/20/2026
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