Organization
THERAPEUTIC ASSOCIATES INC
Active
Other names
TAI Valley Physical Therapy Keizer
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
5955 SHOREVIEW LN N, SUITE 100, KEIZER, OR 97303-3981
(503) 463-4221
(503) 463-4522
Mailing address
16083 SW UPPER BOONES FERRY RD, STE 300, TIGARD, OR 97224-7736
(800) 219-8835
(503) 635-9699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
197670322
OWCP - PHYSICAL THERAPY
OR
01
—
618460400
OWCP - MASSAGE THERAPY
OR
Enumeration date
12/14/2005
Last updated
12/19/2014
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