Mozena, John D

Mozena, John D is an sole proprietor health care provider with primary practice located at 8305 Se Monterey Ste 101, Portland OR 97266-7728. He recently has 3 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Sports Medicine, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Foot Surgery is his primary health care specialty. Mozena, John D can be contacted via phone (503) 652-1121.

Contact Information

Primary practice address
8305 Se Monterey Ste 101 Portland OR 97266-7728
Phone: (503) 652-1121
Fax: (503) 652-2193
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 158 Oregon
Podiatric Medicine & Surgery Service Providers / Sports Medicine 213ES0000X 158 Oregon
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 158 Oregon

Profile Details

NPI number 1861673980
LBN Legal business name Mozena, John D
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 16th, 2007
Last updated Jul 3rd, 2008 - about 18 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 1861673980 NPPES
Oregon MEDICAID 146910

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