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Individual

DR. JOSEPH MICHAEL MOZENA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
2227 NE HANCOCK ST, PORTLAND, OR 97212-4873
(503) 282-8235
Mailing address
2227 NE HANCOCK ST, PORTLAND, OR 97212-4873
(503) 282-8235

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
154
OR
213E00000X
Podiatrist
329
WA
213E00000X
Podiatrist
E3266
CA

Other

Enumeration date
03/08/2008
Last updated
03/08/2008
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