Individual provider · Type 1 NPI

Ethan Oftedahl

Peer Specialist · Fargo, ND

NPI number 1003769779 Active

Practice location

921 2nd Ave S
Fargo, ND 58103-1705

Call (701) 361-9922 Map

Fax (701) 829-7140

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X837 (ND)

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1003769779

Ethan Oftedahl's National Provider Identifier is 1003769779, issued on Feb 20, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Fargo, ND. The record was last updated on Feb 20, 2026.