Moza, Roma

Moza, Roma is an individual health care provider with primary practice located at 9205 Sw Barnes Rd , Portland OR 97225. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Moza, Roma can be contacted via phone (503) 216-2906.

Contact Information

Primary practice address
9205 Sw Barnes Rd Portland OR 97225
Phone: (503) 216-2906
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD189242 Oregon
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X BP10042714 Texas
Allopathic & Osteopathic Physicians / Pediatrics 208000000X Q8577 Texas
Allopathic & Osteopathic Physicians / Pediatrics 208000000X BP10042714 Texas
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD189242 Oregon

Profile Details

NPI number 1063779569
LBN Legal business name Moza, Roma
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2012
Last updated Oct 5th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063779569 NPPES
Oregon MEDICAID 500754746

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