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Organization

THERAPEUTIC ASSOCIATES INC

Active
Parent organization
THERAPEUTIC ASSOCIATES, INC
Other names
TAI - Sunriver
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
56881 ENTERPRISE DR, SUNRIVER, OR 97707
(541) 593-8535
(541) 593-0316
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
500745474
OR
Enumeration date
05/23/2018
Last updated
08/20/2018
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