# THERAPEUTIC ASSOCIATES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** TAI - West Linn
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356887202
- **Authorized official:** TODD GIFFORD (CEO)
- **Authorized official phone:** (800) 219-8835

## Contact information

- **Practice address:** 19129 WILLAMETTE DR, WEST LINN, OR 97068-2019
- **Practice address phone:** (800) 219-8835
- **Practice address fax:** (503) 639-9699
- **Mailing address:** 16083 SW UPPER BOONES FERRY RD, SUITE 300, TIGARD, OR 97224-7736
- **Mailing address phone:** (800) 219-8835
- **Mailing address fax:** (503) 639-9699

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |

## Other

- **Enumeration date:** 01/17/2017
- **Last updated:** 05/03/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0369512 | WA L&I | OR |
| 05 | — | 500723511 | — | OR |