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

Moussa Omidvar

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1639672678

Moussa Omidvar is a Student in an Organized Health Care Education/Training Program in Lebanon, Oregon. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

200 Mullins Dr
Lebanon, OR 97355-3983
Phone: (541) 259-0200
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 number1639672678
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 15, 2018
Last updated in NPPESMarch 15, 2018
Mailing address200 Mullins Dr, Lebanon, OR 97355-3983

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