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Individual

JOSHUA HOZELLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4014 SE BELMONT ST, PORTLAND, OR 97214-4418
(717) 480-7779
Mailing address
4014 SE BELMONT ST, PORTLAND, OR 97214-4418
(717) 480-7779

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
4301102894
MI
207L00000X
Anesthesiology Physician
Primary
MD187164
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500744191
OR
Enumeration date
06/17/2013
Last updated
10/31/2023
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