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DR JOHN D MOZENA DPM PC NPI 1114048667


NPI Information

NPI: 1114048667
Provider Name: DR JOHN D MOZENA DPM PC

Doing Business As: TOWN CENTER FOOT CLINIC

Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
8305 SE MONTEREY AVE STE 101
PORTLAND, OR
ZIP 97266
Phone: (503) 652-1121
Get Directions

DR JOHN D MOZENA DPM PC is a podiatrist in Portland, OR. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. DR JOHN D MOZENA DPM PC NPI is 1114048667. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Town Center Foot Clinic.

The provider's business location address is:

8305 SE MONTEREY AVE STE 101
PORTLAND, OR
ZIP 97266-728
Phone: (503) 652-1121
Fax: (503) 652-2193

The provider's authorized official is John D Mozena .
The authorized official title is Owner and has the following contact phone number (503) 652-1121.

The enumeration date for this NPI number is 4/3/2007 and was last updated on 4/6/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatrist158OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1DE4269MEDICARE PINOREGON
2T67937MEDICARE UPINOREGON
3241805MEDICAIDOREGON
4R116771MEDICARE PINOREGON
50663190001MEDICARE NSCOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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