Thomas Osterdahl, CDP
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Edmonds, WA
NPI 1003387580 · NPPES record last updated Dec 10, 2018
Key facts
- NPI
- 1003387580
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- CP60725651 (WA)
- Practice address
- 7935 Lake Ballinger Way
Edmonds, WA 98026-9166 - Phone
- (425) 412-2973
- Fax
- (425) 672-6022
- NPI assigned
- Dec 10, 2018
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP60725651 | WA | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | CP60725651 | WA | Yes |
Addresses
Primary practice location
7935 Lake Ballinger Way
Edmonds, WA 98026-9166
Mailing address
7935 Lake Ballinger Way
Edmonds, WA 98026-9166
Phone (425) 412-2973
Other providers in Edmonds, WA
- Optum Care Washington PLLC
- Optum Care Washington PLLC
- Preyanca Hanna Oree
- Meaghan Ormsby
- Erin M Orourke
- Kristin Ott
- Sarah Elizabeth Ouano
- Glen R Owen
- Tracy Ozanich
- Pacific Healthcare, LLC
All providers in Edmonds, WA · Addiction (Substance Use Disorder) Counselor in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 10, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.