Individual
EVERETT J MOZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2020 CAPITOL ST NE, SALEM, OR 97303-3244
(503) 399-2424
(503) 375-7429
Mailing address
PO BOX 8100, SALEM, OR 97303-0900
(503) 399-2424
(503) 375-7429
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD086298
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020020319
RAILROAD MEDICARE
—
05
—
086298
—
OR
01
—
CS4159
RAILROAD GROUP
—
Enumeration date
06/05/2006
Last updated
05/24/2010
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