Organization
THERAPEUTIC ASSOCIATES INC
Active
Other names
TAI NW Portland Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TODD ROBERT GIFFORD PT (INFORMATION SYSTEMS DIRECTOR)
(503) 443-6156
Entity
Organization
Contact information
Practice address
2701 NW VAUGHN ST, STE 155, PORTLAND, OR 97210-5311
(503) 227-3479
(503) 223-4838
Mailing address
16083 SW UPPER BOONES FERRY RD, STE 300, TIGARD, OR 97224-7736
(800) 219-8835
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
OR
Other
Enumeration date
12/14/2005
Last updated
10/29/2012
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