# THERAPEUTIC ASSOCIATES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** TAI - St. Johns
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235705013
- **Authorized official:** MELISSA HAMILTON (DIRECTOR PAYER & PROVIDER RELATIONS)
- **Authorized official phone:** (503) 443-6156

## Contact information

- **Practice address:** 8220 NORTH IVANHOE STREET, PORTLAND, OR 97203
- **Practice address phone:** (503) 334-3901
- **Practice address fax:** (503) 334-3931
- **Mailing address:** 16083 SW UPPER BOONES FERRY RD STE 300, PORTLAND, OR 97224-7736
- **Mailing address phone:** (503) 443-6156
- **Mailing address fax:** (503) 639-9699

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 06/02/2021
- **Last updated:** 06/02/2021