Moody, Irma Magdalena

Moody, Irma Magdalena is an sole proprietor health care provider with primary practice located at 4010 Aerial Way , Eugene OR 97402-9757. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is her primary health care specialty. Moody, Irma Magdalena can be contacted via phone (541) 242-8300.

Contact Information

Primary practice address
4010 Aerial Way Eugene OR 97402-9757
Phone: (541) 242-8300
Fax: (541) 242-8355
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 202113246NP-PP Oregon

Profile Details

NPI number 1831861335
LBN Legal business name Moody, Irma Magdalena
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 2nd, 2021
Last updated Oct 18th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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