| NPI | 1114048667 |
|---|---|
| Doing Business As | TOWN CENTER FOOT CLINIC |
| Entity Type | Organization |
| Authorized Contact | JOHN D MOZENA Owner 503-652-1121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: OR 158) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2009-04-06 |