Organization
ODAT SERVICES L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRAVIS GERALD GANNON (MANAGING PARTNER)
(425) 879-8920
Entity
Organization
Contact information
Practice address
3102 HOYT AVE UNIT 2371, EVERETT, WA 98213-0028
(425) 879-8920
Mailing address
3102 HOYT AVE UNIT 2371, EVERETT, WA 98213-0028
(425) 879-8920
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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