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

Individual provider Clinical Psychologist · NPI 1205147675

Dr. Ida Moadab, PHD is a Clinical Psychologist in Eugene, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2010
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

132 E Broadway Ste 301
Eugene, OR 97401-3154
Phone: (541) 554-5812
Fax: (458) 201-6826
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 2510 (OR)

Record details

NPI number1205147675
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedJune 30, 2010
Last updated in NPPESJanuary 26, 2026
Certification dateJanuary 26, 2026
Mailing addressPo Box 5832, Eugene, OR 97405-0832

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