Organization
THERAPEUTIC ASSOCIATES, INC
Active
Parent organization
THERAPEUTIC ASSOCIATES, INC
Other names
TAI - La Pine
Organization subpart
Yes
Provider details
NPI number
Legal business name
THERAPEUTIC ASSOCIATES, INC
Authorized official
TODD GIFFORD (CEO)
(503) 443-6156
Entity
Organization
Contact information
Practice address
51681 HUNTINGTON RD, LA PINE, OR 97739
(541) 536-6122
(541) 536-6123
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
05
—
500745900
—
OR
Enumeration date
05/23/2018
Last updated
08/20/2018
Update your record
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