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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

Other

Enumeration date
11/27/2006
Last updated
10/29/2012
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