Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY JANE HAAKE, CPCP
Active Sole ProprietorAnesthesiologist Assistant · PORTLAND, OR
Registration Details
- NPI Number
- 1164791992
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 22, 2011 (14.3309977163 yrs)
- Last Updated
- Dec 22, 2011
- License
-
EPT-T-652245 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1017 SW MORRISON ST205PORTLAND, OR, 972052635Browse OR providers · Browse ZIP 97205
- Phone
- 5032248416
- Fax
- 5039735433
- Primary Specialty
-
Anesthesiologist Assistant
246ZA2600X
Other Anesthesiologist Assistant Providers in PORTLAND, OR
| Name | Credential | NPI |
|---|---|---|
| ERIK BERNTSEN | CPCP | 1326445651 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.