Most Relevant Information
Provider Data
| NPI Number: | 1003387580 |
| Provider Name: | THOMAS OSTERDAHL CDP |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | CP60725651 |
Most Important Dates
| Enumeration Date: | 12/10/2018 |
| Last Updated: | 12/10/2018 |
Provider Practice Location
7935 LAKE BALLINGER WAY
EDMONDS
WA
980269166
Practice Location Phone/Fax
| Phone: | 4254122973 |
| Fax: | 4256726022 |
Provider Mailing Location
7935 LAKE BALLINGER WAY
EDMONDS
WA
980269166
Provider Mailing Phone/Fax
| Phone: | 4254122973 |
| Fax: | 4256726022 |