Healthcare Provider Details

I. General information

NPI: 1376464214
Provider Name (Legal Business Name): CELIA MOYER OTD, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

84 CENTENNIAL LOOP
EUGENE OR
97401-7909
US

IV. Provider business mailing address

2410 W 23RD AVE
EUGENE OR
97405-1404
US

V. Phone/Fax

Practice location:
  • Phone: 541-255-2681
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number555313
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: