Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Odland Family Practice Clinic, LLC

Organization Family Medicine Physician · NPI 1114269313

Odland Family Practice Clinic, LLC provides Family Medicine Physician services in Wasilla, Alaska. Licensed in Alaska. Registered with an NPI since 2013.

Licensed in
AK
In the registry since
2013
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

950 E Bogard Rd Ste 234
Wasilla, AK 99654-7184 Not confirmed with CMS for 13 years — call before visiting
Phone: (907) 355-0850
Fax: (907) 373-0117
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 955730 (AK)

Record details

NPI number1114269313
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shannon Pendergrass — Billing Manager · (907) 355-0850
NPI enumeratedMarch 26, 2013
Last updated in NPPESMarch 26, 2013
Mailing address950 E Bogard Rd, Suite 234, Wasilla, AK 99687-9481

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