Individual
SAMUEL MOATS-MESSING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC
Contact information
Practice address
173 NE 102ND AVE, PORTLAND, OR 97220-4169
(503) 906-9995
Mailing address
853 YORK ST, OAKLAND, CA 94610-2166
(503) 701-4249
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-22-1486
OR
104100000X
Social Worker
—
CA
175T00000X
Peer Specialist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
04/05/2021
Last updated
02/25/2026
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