JEAN M TAKAESU OTR/L NPI 1700861804

NPI Information

NPI: 1700861804
Provider Name: JEAN M TAKAESU, OTR/L
Classification: Occupational Therapist - 225XH1200X
Entity Type: Individual

Specialization: Hand

Address:
7101 NE 137TH AVE
VANCOUVER, WA
ZIP 98682
Phone: (360) 944-4988
Get Directions

Jean M Takaesu, OTR/L is a hand occupational therapist in Vancouver, WA. Jean M Takaesu, OTR/L NPI is 1700861804. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7101 NE 137TH AVE
VANCOUVER, WA
ZIP 98682-933
Phone: (360) 944-4988

The enumeration date for this NPI number is 12/12/2005 and was last updated on 12/30/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225XH1200X	Occupational Therapist	Hand	OT00003054	WASHINGTON	Yes
2	225XH1200X	Occupational Therapist	Hand	1031035	OREGON	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	269899	MEDICAID	OREGON
2	0199636	OTHER	WASHINGTON	WA L&I
3	098565024	OTHER	OREGON	BCBSO
4	8434631	MEDICAID	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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