Moussa Omidvar is a student in an organized health care education training program in Lebanon, OR. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Moussa Omidvar NPI is 1639672678. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
200 MULLINS DR
LEBANON, OR
ZIP 97355-983
Phone: (541) 259-0200
The NPI 1639672678 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 3/15/2018 and was last updated on 3/15/2018.