Individual provider · Type 1 NPI

Leif John Moa-Anderson, MA, LMHC

Mental Health Counselor · Portland, OR

NPI number 1356646046 Active

Practice location

310 SW 4th Ave, Suite 1001
Portland, OR 97204

Call (541) 903-5378 Map

Mailing address

224 SE 74th Ave
Portland, OR 97215-1447

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XC7350 (OR)
Mental Health Counselor 101YM0800XLH60620675 (WA)

Mental Health Counselor: Definition to come...

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About NPI 1356646046

Leif John Moa-Anderson, MA, LMHC's National Provider Identifier is 1356646046, issued on Jan 11, 2011. 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 10, 2026.