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Contact Information

IRMA M MOODY
4010 AERIAL WAY
EUGENE, OR97402-9757
 Phone: 541-242-8300
 Fax: 541-242-8355
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for IRMA M MOODY · (Female)

NPI # 1831861335
Status Active
Credentials
Entity Individual
Enumeration date 10/02/2021
Last updated 10/18/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • OR License # 202113246NP-PP
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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