Individual provider · Type 1 NPI
John D. Mozena, DPM
Foot Surgery Podiatrist · Portland, OR
NPI number
1861673980
Active
Practice location
8305 SE Monterey, Ste 101
Portland, OR 97266-7728
Fax (503) 652-2193
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | 158 (OR) |
| Sports Medicine Podiatrist | 213ES0000X | 158 (OR) |
| Foot Surgery Podiatrist Primary | 213ES0131X | 158 (OR) |
Foot Surgery Podiatrist: Definition to come...
Another provider at this address
Other foot surgery podiatrist providers in Portland
About NPI 1861673980
John D. Mozena, DPM's National Provider Identifier is 1861673980, issued on Nov 16, 2007. The primary taxonomy on file is Foot Surgery Podiatrist (213ES0131X), and the practice location is in Portland, OR. The record was last updated on Jul 3, 2008.