person
John D Mozena, DPM
Foot Surgery Podiatrist in Portland, Oregon
NPI 1861673980

John D Mozena is a Foot Surgery Podiatrist based in Portland, OR and is specialized in Foot Surgery. John D Mozena practices in Portland, OR and has the professional credentials of DPM. The NPI Number for John D Mozena is 1861673980 and holds a License No. 158 (Oregon).

The current practice location address for John D Mozena is 8305 Se Monterey, Portland, OR and can be reached out via phone at 503-652-1121 and via fax at 503-652-2193.

Location: 8305 Se Monterey, Portland, OR, 97266-7728
person
Provider Profile Details
NPI Number
1861673980
Provider Name
John D Mozena
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
8305 Se Monterey, Portland, OR, 97266-7728
Phone Number
503-652-1121
Fax Number
503-652-2193
Provider Enumeration Date
11/16/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
146910 05 OR
institution
Provider Business Practice Location Address Details
Address
8305 Se Monterey
City
State
Zip
97266-7728
Phone Number
503-652-1121
Fax Number
503-652-2193
person
Provider Business Mailing Address Details
Address
8305 Se Monterey
City
State
Zip
97266-7728
Phone Number
503-652-1121
Fax Number
503-652-2193
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
License No.
158 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Sports Medicine
Taxonomy
License No.
158 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
License No.
158 (Oregon)
Definition
Definition to come...
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