Ida Moadab (NPI# 1205147675, PAC ID# 4082940192) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1205147675 |
| PAC ID by PECOS | 4082940192 |
| Professional Enrollment ID | I20190727000175 |
| Full Name | Ida Moadab |
| Organization Legal Name | EUGENE CENTER FOR ANXIETY AND STRESS, LLC |
| Address |
101 E Broadway Suite 400 Eugene OR 97401-3104 |
| Phone Number | 5413579764 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Group Practice PAC ID | 3173859287 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 101 E Broadway, Suite 400, Eugene, OR 97401-3104 | 5413579764 | EUGENE CENTER FOR ANXIETY AND STRESS, LLC |
| Organization Legal Name | EUGENE CENTER FOR ANXIETY AND STRESS, LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chaunce R. Windle | Psychologist, Clinical | Eugene Center for Anxiety and Stress, LLC | 101 E Broadway, Suite 400, Eugene, OR 97401-3104 |
| Enid Richey | Psychologist, Clinical | Eugene Center for Anxiety and Stress, LLC | 101 E Broadway, Suite 400, Eugene, OR 97401-3104 |
| Ruth J Bichsel | Psychologist, Clinical | Eugene Center for Anxiety and Stress, LLC | 101 E Broadway, Suite 400, Eugene, OR 97401-3104 |
| Robyn S Gibbs | Clinical Social Worker | Eugene Center for Anxiety and Stress, LLC | 101 E Broadway, Suite 400, Eugene, OR 97401-3104 |
| Street Address |
101 E BROADWAY SUITE 400 |
| City | EUGENE |
| State | OR |
| Zip | 97401-3104 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chaunce R. Windle | Psychologist, Clinical | Eugene Center for Anxiety and Stress, LLC | 101 E Broadway, Suite 400, Eugene, OR 97401-3104 |
| Enid Richey | Psychologist, Clinical | Eugene Center for Anxiety and Stress, LLC | 101 E Broadway, Suite 400, Eugene, OR 97401-3104 |
| Phil A Hamilton | Clinical Social Worker | 101 E Broadway, Suite 602, Missoula, MT 59802-4594 | |
| Ruth J Bichsel | Psychologist, Clinical | Eugene Center for Anxiety and Stress, LLC | 101 E Broadway, Suite 400, Eugene, OR 97401-3104 |
| Robyn S Gibbs | Clinical Social Worker | Eugene Center for Anxiety and Stress, LLC | 101 E Broadway, Suite 400, Eugene, OR 97401-3104 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott A Cherne | Ophthalmology | Pacific Clearvision Institute, PC | 1125 Darlene Ln, Suite 100, Eugene, OR 97401-1601 |
| Anthony P Grillo | Ophthalmology | Pacific Clearvision Institute, PC | 1125 Darlene Ln, Suite 100, Eugene, OR 97401-1601 |
| Omer Gal | Ophthalmology | Pacific Clearvision Institute, PC | 1125 Darlene Ln, Suite 100, Eugene, OR 97401-1601 |
| Claude Brist | Optometry | Pacific Clearvision Institute, PC | 1125 Darlene Ln, Suite 100, Eugene, OR 97401-1601 |
| Bradley J Lorenzen | Optometry | Pacific Clearvision Institute, PC | 1125 Darlene Ln, Suite 100, Eugene, OR 97401-1601 |
| Robin E Bautista | Optometry | Pacific Clearvision Institute, PC | 1125 Darlene Ln, Suite 100, Eugene, OR 97401-1601 |
| John J Deguire | Ophthalmology | Scott A Cherne, Md, PC | 1125 Darlene Ln, Eugene, OR 97401-1601 |
| Bruce R Manchester | Certified Registered Nurse Anesthetist | Northwest Anesthesia Physicians PC | 1125 Darlene Ln, Eugene, OR 97401-1601 |
| Jill S Ritchie | Occupational Therapy | Premere Rehab LLC | 1282 Goodpasture Island Rd, Eugene, OR 97401-1755 |
| Brittany Herson | Occupational Therapy | Premere Rehab LLC | 1282 Goodpasture Island Rd, Eugene, OR 97401-1755 |
| Find all physicians in zip 97401 | |||
| City | EUGENE |
| Zip Code | 97401 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | EUGENE + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Ida Moadab.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.