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Organization
THERAPEUTIC ASSOCIATES INC
Active
Organization
THERAPEUTIC ASSOCIATES INC
Active
Other names
Therapeutic Associates Northeast Portland Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TODD ROBERT GIFFORD (INFORMATION SYSTEMS DIRECTOR)
(503) 443-6156
Entity
Organization
Contact information
Practice address
4040 NE FREMONT ST, PORTLAND, OR 97212-1952
(503) 493-4463
(503) 493-4348
Mailing address
16083 SW UPPER BOONES FERRY RD, SUITE 300, TIGARD, OR 97224-7736
(503) 443-6156
(503) 443-1402
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
OR
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
11/27/2006
Last updated
10/29/2012
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