MS. ANASTASIA LYNN MORET OTR - NPI 1104972918

Q: What is Anastasia Moret's NPI number?

The NPI number for Anastasia Moret is 1104972918. It was assigned to this individual provider in the NPPES registry on January 25, 2007.

Q: What is Anastasia Moret's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Anastasia Moret was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Ms. Anastasia Lynn Moret Otr NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. ANASTASIA LYNN MORET OTR (NPI 1104972918) is an individual mental health provider in Portland, Oregon and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1104972918

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMS. ANASTASIA LYNN MORETCredential: OTR

Location Address412 SW 12TH AVEPortland, OR 97205-2329

Mailing Address1176 Ne 69th AvePortland, OR 97213-5410 · (503) 516-1813 · Fax (503) 273-8431

Phone(503) 516-1813

Fax(503) 273-8431

Sole ProprietorYes

Enumeration DateJanuary 25, 2007

Last NPPES UpdateSeptember 11, 2025

✔ NPI 1104972918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

Also ListedOccupational TherapistTaxonomy 225X00000X · License 1047077 (OR)

412 SW 12TH AVE, Portland, OR 97205

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. GREGORY S BELL QMHA

Case Manager/Care Coordinator