Organization
THERAPEUTIC ASSOCIATES INC
Active
Other names
Therapeutic Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA HAMILTON (DIR PAYER & PROVIDER RELATIONS)
(503) 443-6156
Entity
Organization
Contact information
Practice address
12 N FISHER PARK WAY, STE. 100, EAGLE, ID 83616-4704
(208) 939-0140
(208) 939-0139
Mailing address
16083 SW UPPER BOONES FERRY RD, STE. 300, TIGARD, OR 97224-7736
(800) 219-8835
(503) 639-9699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0330314
WA L&I
ID
05
—
1144636358
—
ID
Enumeration date
07/08/2014
Last updated
05/23/2023
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