MARY JANE HAAKE (NPI# 1164791992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164791992 |
| Entity Type | Individual |
| Full Name | MARY JANE HAAKE |
| Credential | CPCP |
| Practice Address |
1017 Sw Morrison St 205 Portland OR 97205-2635 |
| Practice Telephone | 5032248416 |
| Practice Fax Number | 5039735433 |
| Mailing Telephone | 5032248416 |
| Mailing Fax Number | 5039735433 |
| Enumeration Date | 2011-12-22 |
| Last Update Date | 2011-12-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZA2600X |
Specialist/Technologist, Other Specialization: Art, Medical |
EPT-T-652245 | OR | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700943453 | Mary Louise Haake | Psychologist | 17 Glen Eden Ave, # 7, Oakland, CA 94611-4316 | 2007-01-02 |
| Street Address |
1017 SW MORRISON ST 205 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97205-2635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760544571 | Shelly Bernard Getzlaf | Psychologist | 1017 Sw Morrison St, Ste 411, Portland, OR 97205-2629 | 2006-12-15 |
| 1033573340 | Gwen Callahan | Massage Therapist | 1017 Sw Morrison St, Suite 411, Portland, OR 97205-2635 | 2016-04-12 |
| 1831556562 | Portland Massage Arts LLC | Massage Therapist | 1017 Sw Morrison St, #405, Portland, OR 97205-2635 | 2016-01-26 |
| 1184033706 | Andrew Freeman | Massage Therapist | 1017 Sw Morrison St, Suite 411, Portland, OR 97205-2635 | 2014-08-07 |
| 1689002859 | Portland Area Recovery Services | Community/Behavioral Health | 1017 Sw Morrison St, Suite 502, Portland, OR 97205-2635 | 2013-10-24 |
| 1598192007 | Sarah M Stivers | Specialist | 1017 Sw Morrison St, Suite 312, Portland, OR 97205-2635 | 2013-09-28 |
| 1629311147 | Vicki Leigh Lorayne | Mechanotherapist | 1017 Sw Morrison St, # 403, Portland, OR 97205-2635 | 2013-04-03 |
| 1508105511 | Mikako Saito | Massage Therapist | 1017 Sw Morrison St, Suite 507c, Portland, OR 97205-2635 | 2013-02-11 |
| 1467701227 | Optimal Performance Therapeutic Massage | Massage Therapist | 1017 Sw Morrison St, 411, Portland, OR 97205-2635 | 2012-09-07 |
| 1821346883 | Melissa Baldwin | Massage Therapist | 1017 Sw Morrison St, 411, Portland, OR 97205-2635 | 2012-08-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871026062 | Leila Soltani | Dentist | 430 Sw 13th Ave Apt 2010, Portland, OR 97205 | 2017-04-05 |
| 1114374949 | Elizabeth Alire | Counselor | 1411 Sw Morrison St., Portland, OR 97205 | 2016-05-23 |
| 1508237462 | Pacific Psychology and Comprehensive Health Center | Community/Behavioral Health | 1411 Sw Morrison Ave, Suite 310, Portland, OR 97205 | 2015-10-16 |
| 1265803761 | Alana Branson | Naturopath | 1033 Sw Yamhill Street, Suite 403, Portland, OR 97205 | 2015-10-10 |
| 1720458011 | Kate Ohene | Counselor | 1411 Sw Morrison Street, Suite 310, Portland, OR 97205 | 2015-09-30 |
| 1285004671 | Christina Nannette Mendoza | Counselor | 1411 Sw Morriston Street, 310, Portland, OR 97205 | 2015-09-29 |
| 1083095947 | Patricia Burton | Registered Nurse | 1312 Sw Washinghton, Portland, OR 97205 | 2015-06-16 |
| 1649663071 | Huey Holistic | Clinic/Center | 1221 Sw Yamill, Suite 300, Portland, OR 97205 | 2015-03-10 |
| 1376952796 | Joan Kendall Ayala | Counselor | 610 Sw Alder St Ste 915, Portland, OR 97205 | 2014-08-11 |
| 1316356165 | Satheara Sin | Massage Therapist | 1033 Sw Yamhill St. #403, Portland, OR 97205 | 2014-08-06 |
| Find all providers in zip 97205 | ||||
| Taxonomy Code | 246ZA2600X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Art, Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548667918 | Eleven Eleven, LLC | Specialist/Technologist, Other | 6714 Sw 62nd Place, Portland, OR 97219 | 2014-12-01 |
| 1326445651 | Erik Berntsen | Specialist/Technologist, Other | 1820 Sw Vermont St, Suite K, Portland, OR 97219-1945 | 2014-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609409523 | Miss Alter Ego Salon, LLC | Specialist/Technologist, Other | 21185 Nw West Union Rd, Hillsboro, OR 97124-8543 | 2020-02-19 |
| 1447741020 | Tanya Ilona Purt-nichols | Specialist/Technologist, Other | 10600 Se Mcloughlin Blvd Ste 203, Milwaukie, OR 97222-7428 | 2018-05-20 |
| 1851843023 | Joshua Travis South I | Specialist/Technologist, Other | 160 E 18th Ave, Eugene, OR 97401-4160 | 2016-11-03 |
| 1912343989 | Culp Enterprises, Inc. | Specialist/Technologist, Other | 81 Centennial Loop Ste 3, Eugene, OR 97401-2471 | 2013-05-17 |
| 1417211814 | Judith May Culp | Specialist/Technologist, Other | 81 Centennial Loop, Suite 3, Eugene, OR 97401-2471 | 2012-06-29 |
| 1285770958 | Kathleen Sue Sherwood | Specialist/Technologist, Other | 680 E 18th Ave, Eugene, OR 97401-4360 | 2007-01-30 |
| 1295353969 | Eain Varga | Specialist/Technologist, Other | 81 Centennial Loop Ste 3, Eugene, OR 97401-2471 | 2020-07-09 |
| 1942859160 | Esthetics Nw Services LLC | Specialist/Technologist, Other | 81 Centennial Loop Ste 3, Eugene, OR 97401-2471 | 2019-09-10 |
| 1821640673 | Michelle Varga | Specialist/Technologist, Other | 81 Centennial Loop Ste 3, Eugene, OR 97401-2471 | 2019-07-11 |
| 1447681648 | Anew You Studio LLC | Specialist/Technologist, Other | 100 King St S, Salem, OR 97302-4520 | 2013-12-12 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.