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Moussa Omidvar
NPI 1639672678 · on the registry since 2018
Practice
- Address
- 200 Mullins Dr
Lebanon, OR 97355 - Phone
- (541) 259-0200
- Organisation at this address
- Western University Of Health Sciences
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 180
Additional practice sites
- 120 E Harris Ave, San Angelo, TX
Registry record
- Primary taxonomy
- 2085R0204X
2085R0204X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-08-19
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