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Contact Information

DR JOHN D MOZENA DPM PC
8305 SE MONTEREY AVE STE 101
PORTLAND, OR97266-7728
 Phone: 503-652-1121
 Fax: 503-652-2193
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for DR JOHN D MOZENA DPM PC · (Female)

NPI Number 1114048667
Status Active
Credentials
Entity Individual
Enumeration date 04/03/2007
Last updated 04/06/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • OR License # 158
  • OR Medicaid 241805
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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