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:
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Health care specialties

SpecialtyCodeLicense #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 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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Identifiers

StateTypeNumberIssuer
All States NPI 1477547594 NPPES
Oregon MEDICAID 17705-5
Oregon Other 048825001

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