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:F
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 1:15650 NE 24TH ST STE A
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98008-2460
Mailing Address - Country:US
Mailing Address - Phone:425-505-2745
Mailing Address - Fax:425-505-2579
Practice Address - Street 1:15650 NE 24TH ST STE A
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98008-2460
Practice Address - Country:US
Practice Address - Phone:425-505-2745
Practice Address - Fax:425-505-2579
Is Sole Proprietor?:No
Enumeration Date:2010-11-18
Last Update Date:2022-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIACU1273171100000X
HIND310175F00000X
WANATU.NT.60186080175F00000X
WANT60186080175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No171100000XOther Service ProvidersAcupuncturist