Ida Moadab, PH.D

NPI 1205147675 · on the registry since 2010 · sole proprietor

Practice

Address: 132 E Broadway Ste 301
Eugene, OR 97401
Phone: (541) 554-5812
Fax: (458) 201-6826
Organisation at this address: Oregon Tlc
Interplay Pc
Oregon Tlc, Llc
Edward M. Thatcher
Dr Brent Horner Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 69

Registry record

Primary taxonomy: 103TC0700X
103TC0700X
Licence states on file: OR
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2026-01-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon