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Individual

JEAN M TAKAESU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
7101 NE 137TH AVE, VANCOUVER, WA 98682-4933
(360) 944-4988
Mailing address
500 NE MULTNOMAH ST STE 100, PORTLAND, OR 97232-2031
(800) 813-2000
(855) 524-5255

Taxonomy

Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
1031035
OR
225XH1200X
Hand Occupational Therapist
Primary
OT00003054
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0199636
WA L&I
WA
01
098565024
BCBSO
OR
05
269899
OR
05
8434631
WA
Enumeration date
12/12/2005
Last updated
07/18/2025
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