IndividualActive
John Mozena, DPM
NPI 1861673980 · Foot Surgery Podiatrist · Portland, OR
Provider details
- NPI number
- 1861673980
- Entity type
- Individual
- Primary specialty
- Foot Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- Yes
- License
- 158 (OR)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Podiatric Medicine & Surgery Service Providers
Podiatric Medicine & Surgery Service Providers
Practice location
8305 Se Monterey
Ste 101
Portland, OR 97266-7728
Phone: (503) 652-1121
Fax: (503) 652-2193
Approximate (ZIP-level) locationGet directions
Mailing address
8305 Se Monterey
Portland, OR 97266-7728
Registry dates
- Enumerated
- 2007-11-16
- Last updated
- 2008-07-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.