Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mary Jane Haake, CPCP

Individual provider Medical Art Specialist/Technologist · NPI 1164791992

Mary Jane Haake, CPCP is a Medical Art Specialist/Technologist in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2011
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Practice location Address checks out

1017 SW Morrison St 205
Portland, OR 97205-2635
Phone: (503) 224-8416
Fax: (503) 973-5433
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Art Specialist/Technologist (primary) Taxonomy 246ZA2600X · Licence EPT-T-652245 (OR)

Record details

NPI number1164791992
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPCP
Sole proprietorYes
NPI enumeratedDecember 22, 2011
Last updated in NPPESDecember 22, 2011

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