Organization
THERAPEUTIC ASSOCIATES, INC.
Active
Other names
TAI - Central Oregon Athletic Club of Bend
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TOOD GIFFORD (CHIEF OPERATING OFFICER)
(800) 219-8835
Entity
Organization
Contact information
Practice address
61615 ATHLETIC CLUB DR, BEND, OR 97702-3247
(541) 382-7890
(541) 382-7498
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
—
OR
225X00000X
Occupational Therapist
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500625706
—
OR
Enumeration date
09/09/2010
Last updated
10/29/2012
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