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Organization
DR JOHN D MOZENA DPM PC
Active
Organization
DR JOHN D MOZENA DPM PC
Active
Other names
Town Center Foot Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN D MOZENA DPM (OWNER)
(503) 652-1121
Entity
Organization
Contact information
Practice address
8305 SE MONTEREY AVE STE 101, PORTLAND, OR 97266-7728
(503) 652-1121
(503) 652-2193
Mailing address
8305 SE MONTEREY AVE STE 101, PORTLAND, OR 97266-7728
(503) 652-1121
(503) 652-2193
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
158
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
241805
—
OR
Enumeration date
04/03/2007
Last updated
04/06/2009
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