Joan Marie Takacs
Neuromusculoskeletal Medicine (NMM)
5909 Se Division St
Portland
, Oregon 97206-1470
Joan Marie Takacs
Neuromusculoskeletal Medicine (NMM)
5909 Se Division St
Portland
, Oregon 97206-1470
(503) 234-2367
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About
Features
Specialties
- Neuromusculoskeletal Medicine (NMM)
Languages spoken
- English
Location
First Address
- Joan Marie Takacs
- 5909 Se Division St
- Portland, OR
- Zip : 97206-1470
- Fax : (503) 234-2367
- Phone : (503) 234-1531
Second Address
- Joan Marie Takacs
- 5909 Se Division St
- Portland, OR
- Zip : 97206-1470
- Fax : (503) 234-2367
- Phone : (503) 234-1531
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | DO14673 | OR |
National Provider Identifier
| NPI | 1477547594 |
|---|---|
| Provider Name | Joan Marie Takacs |
| First Address | Portland, OR 97206-1470 |
| Second Address | Portland, OR 97206-1470 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/09/2005 |
| Last Update Date | 24/06/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 048825001 | BCBSO (01) | OR |
| 17705-5 | (05) | OR |
| C90908 | (02) | OR |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.