Takacs, Joan Marie
Takacs, Joan Marie is an sole proprietor health care provider with primary practice located at 5909 Se Division St , Portland OR 97206-1470. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, which is considered as her primary health care specialty. Takacs, Joan Marie can be contacted via phone (503) 234-1531.Contact Information
Primary practice address
5909 Se Division St
Portland OR 97206-1470
Phone: (503) 234-1531
Fax: (503) 234-2367
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM | 204D00000X | DO14673 | Oregon |
Profile Details
| NPI number | 1477547594 |
|---|---|
| LBN Legal business name | Takacs, Joan Marie |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 2nd, 2005 |
| Last updated | Jun 24th, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477547594 | NPPES |
| Oregon | MEDICAID | 17705-5 | |
| Oregon | Other | 048825001 |
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