Ms Anastasia Lynn Moret, OTR is a
Counselor - Mental Health based in Portland, Oregon. Ms Anastasia Lynn Moret is licensed to practice in * (Not Available) (license number ) and her current practice location is
412 Sw 12th Ave, Portland, Oregon. She can be reached at her office (for appointments etc.) via phone at
(503) 516-1813.
NPI number for Ms Anastasia Lynn Moret is 1104972918 and her current mailing address is 1176 Ne 69th Ave, Portland, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104972918.
Healthcare Provider's Profile
| Full Name | Ms Anastasia Lynn Moret |
|---|
| Gender | Female |
|---|
| Speciality | Counselor - Mental Health |
|---|
| Location | 412 Sw 12th Ave, Portland, Oregon |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1104972918
- Provider Enumeration Date: 01/25/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Ms Anastasia Lynn Moret such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104972918 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | 1047077 (Oregon) | Primary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Anastasia Lynn Moret is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Anastasia Lynn Moret, OTR
1176 Ne 69th Ave,
Portland, OR 97213-5410
Ph: (503) 516-1813 | Ms Anastasia Lynn Moret, OTR
412 Sw 12th Ave,
Portland, OR 97205-2329
Ph: (503) 516-1813 |
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