Individual provider · Type 1 NPI

Sophia Moss

Counselor · Portland, OR

NPI number 1003773672 Active

Practice location

425 SE 75th Ave
Portland, OR 97215-1459

Call (719) 208-5694 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1003773672

Sophia Moss's National Provider Identifier is 1003773672, issued on Jan 6, 2026. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Portland, OR. The record was last updated on Jan 6, 2026.