Organization
THERAPEUTIC ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD GIFFORD (COO)
(800) 219-8835
Entity
Organization
Contact information
Practice address
16315 SW BARROWS RD, SUITE 205, BEAVERTON, OR 97007-9461
(503) 521-0500
(503) 521-0503
Mailing address
16083 SW UPPER BOONES FERRY RD, SUITE 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
—
197670368
OWCP
OR
05
—
500648117
—
OR
Enumeration date
05/02/2012
Last updated
05/22/2023
Update your record
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