Haake, Mary Jane

Haake, Mary Jane is an sole proprietor health care provider with primary practice located at 1017 Sw Morrison St 205, Portland OR 97205-2635. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Art, Medical, which is considered as her primary health care specialty. Haake, Mary Jane can be contacted via phone (503) 224-8416.

Contact Information

Primary practice address
1017 Sw Morrison St 205 Portland OR 97205-2635
Phone: (503) 224-8416
Fax: (503) 973-5433
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Art, Medical 246ZA2600X EPT-T-652245 Oregon

Profile Details

NPI number 1164791992
LBN Legal business name Haake, Mary Jane
Credentials CPCP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 22nd, 2011
Last updated Dec 22nd, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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