Individual
DR. IDA MOADAB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
132 E BROADWAY STE 301, EUGENE, OR 97401-3154
(541) 554-5812
(458) 201-6826
Mailing address
PO BOX 5832, EUGENE, OR 97405-0832
(541) 554-5812
(458) 201-6826
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2510
OR
Other
Enumeration date
06/30/2010
Last updated
01/26/2026
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