Provider Demographics
NPI:1720380041
Name:ODAMA, DANIKA C Y (ND, LAC)
Entity type:Individual
Prefix:
First Name:DANIKA
Middle Name:C Y
Last Name:ODAMA
Suffix:
Gender:
Credentials:ND, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 CEDAR AVENUE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SNOHOMISH
Mailing Address - State:WA
Mailing Address - Zip Code:98290
Mailing Address - Country:US
Mailing Address - Phone:360-282-4014
Mailing Address - Fax:360-282-4017
Practice Address - Street 1:110 CEDAR AVENUE
Practice Address - Street 2:SUITE 101
Practice Address - City:SNOHOMISH
Practice Address - State:WA
Practice Address - Zip Code:98290
Practice Address - Country:US
Practice Address - Phone:360-282-4014
Practice Address - Fax:360-282-4017
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-18
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC60201872171100000X
HIACU1273171100000X
HIND310175F00000X
WANATU.NT.60186080175F00000X
WANT60186080175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No171100000XOther Service ProvidersAcupuncturist