Individual
DR. JOHN MICHAEL ZOSCAK III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2143 NE BROADWAY ST, PORTLAND, OR 97232-1512
(412) 303-2681
Mailing address
PO BOX 3227, PORTLAND, OR 97208-3227
(412) 303-2681
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3997
OR
Other
Enumeration date
02/19/2010
Last updated
02/19/2010
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