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MARY JANE HAAKE CPCP
NPI 1164791992
Specialist/Technologist, Other - Art, Medical in Portland, OR

Active since December 22, 2011
1017 SW MORRISON ST, 205, PORTLAND, OR 97205(503) 224-8416(503) 973-5433 Get Directions Write a Review

NPPES record last updated: December 22, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Jane Haake Cpcp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY JANE HAAKE CPCP (NPI 1164791992) is an individual art, medical provider in Portland, Oregon, licensed in Oregon (EPT-T-652245) and active in the NPI registry since December 2011.

NPPES Registry Identity

NPI1164791992
Entity TypeIndividualFemale
Primary Taxonomy246ZA2600X
Provider Legal NameMARY JANE HAAKECredential: CPCP
Location Address1017 SW MORRISON ST, 205Portland, OR 97205-2635
Mailing Address1017 Sw Morrison St, 205Portland, OR 97205-2635 · (503) 224-8416 · Fax (503) 973-5433
Phone(503) 224-8416
Fax(503) 973-5433
Sole ProprietorYes
Enumeration DateDecember 22, 2011
✔ NPI 1164791992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, Other · Art, MedicalTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246ZA2600X
License✔ Licensed in OR · EPT-T-652245
1017 SW MORRISON ST, Portland, OR 97205
Open in Google Maps ↗

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GWEN CALLAHAN LMT
Massage Therapist
1017 SW MORRISON ST, SUITE 411
PORTLAND, OR 97205
Multnomah County (971) 258-2778
ANDREW FREEMAN LMT
Massage Therapist
1017 SW MORRISON ST, SUITE 411
PORTLAND, OR 97205
Multnomah County (602) 315-1643
MS. KELLY K CONLIN LMT
Massage Therapist
1017 SW MORRISON ST, STE 403
PORTLAND, OR 97205
Multnomah County (503) 893-2913
OPTIMAL PERFORMANCE THERAPEUTIC MASSAGE
Massage Therapist
1017 SW MORRISON ST, 411
PORTLAND, OR 97205
Multnomah County (503) 381-3241
LOLY B LEBLANC LMT
Massage Therapist
1017 SW MORRISON ST, SUITE 406
PORTLAND, OR 97205
Multnomah County (503) 799-8000
MS. MIKAKO SAITO LMT
Massage Therapist
1017 SW MORRISON ST, SUITE 507C
PORTLAND, OR 97205
Multnomah County (503) 927-8559
SARAH M STIVERS L.M.T.
Specialist
1017 SW MORRISON ST, SUITE 312
PORTLAND, OR 97205
Multnomah County (503) 896-9139
MS. VICKI LEIGH LORAYNE LMT
Mechanotherapist
1017 SW MORRISON ST, # 403
PORTLAND, OR 97205
Multnomah County (917) 533-7001

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Haake's NPI number?

The NPI number for Mary Haake is 1164791992. It was assigned to this individual provider in the NPPES registry on December 22, 2011.

Where is Mary Haake located?

Mary Haake practices at 1017 SW Morrison St 205, Portland, OR 97205. The listed phone number is (503) 224-8416.

What is Mary Haake's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Art, Medical, with taxonomy code 246ZA2600X.

When was this NPI record last updated?

The NPPES record for Mary Haake was last updated on December 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.