Individual provider · Type 1 NPI

Anastasia Lynn Moret, OTR

Mental Health Counselor · Portland, OR

NPI number 1104972918 Active

Practice location

412 SW 12th Ave
Portland, OR 97205-2329

Call (503) 516-1813 Map

Fax (503) 273-8431

Mailing address

1176 NE 69th Ave
Portland, OR 97213-5410

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist 225X00000X1047077 (OR)
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1104972918

Anastasia Lynn Moret, OTR's National Provider Identifier is 1104972918, issued on Jan 25, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Sep 11, 2025.