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

Ibrahim Moussaoui, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1548963671

Ibrahim Moussaoui, DO is a Student in an Organized Health Care Education/Training Program in Blodgett, Oregon. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

4311 Clem Rd
Blodgett, OR 97326-9713
Phone: (575) 479-7004
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1548963671
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 27, 2023
Last updated in NPPESMarch 27, 2023
Certification dateMarch 26, 2023
Mailing address4311 Clem Rd, Blodgett, OR 97326-9713