NPI

Ebenezer William Allen Dahl

NPI 1679273916

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
LMT
Type
Individual
Enumeration date
2023-03-06
Last updated
2023-03-06

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Specialties

Licenses

License WA
MA61403991

Location

Practice location
553 Roosevelt Ave Ste 204
City
Enumclaw WA
Postal code
98022-2990
Phone
(253) 289-4463

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Enumclaw, WA. 465 records in the public file.

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