Individual
MR. JOHN EDWARD KOZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
1626 NE ALBERTA ST, PORTLAND, OR 97211-5048
(503) 446-2836
(503) 446-4947
Mailing address
1614 NE ALBERTA ST, PORTLAND, OR 97211-5048
(503) 446-5383
(503) 446-4947
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC191336
OR
Other
Enumeration date
02/03/2019
Last updated
02/03/2019
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