Ida Moadab, PH.D.

Clinical Psychologist · Eugene, OR

Individual Active NPI

NPI number 1205147675

Practice location

132 E Broadway Ste 301
Eugene, OR 97401-3154
Phone
(541) 554-5812
Fax
(458) 201-6826

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NPI record

NPI
1205147675
Entity type
Individual (Type 1)
Enumeration date
June 30, 2010
Last updated
January 26, 2026
Certified
January 26, 2026
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Psychologist Primary 103TC0700X 2510 OR

Mailing address

PO Box 5832
Eugene, OR 97405-0832
Phone
(541) 554-5812
Fax
(458) 201-6826

About Dr. Moadab

Ida Moadab, PH.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Psychologist (code 103TC0700X). The practice location is 132 E Broadway Ste 301, Eugene, OR 97401-3154. The NPI number 1205147675 was assigned on June 30, 2010 and the record was last updated on January 26, 2026.

Dr. Moadab lists a license in the registry: #2510 (OR) for Clinical Psychologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Ida Moadab, PH.D.?

The NPI number is 1205147675.

What is the phone number of Dr. Moadab?

The phone number listed for the practice location is (541) 554-5812.

Where is Dr. Moadab located?

132 E Broadway Ste 301, Eugene, OR 97401-3154.

What is the taxonomy code for Dr. Moadab?

The primary taxonomy code is 103TC0700X – Clinical Psychologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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