Organization
THERAPEUTIC ASSOCIATES INC
Active
Other names
TAI Clackamas Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TODD ROBERT GIFFORD PT (COO)
(503) 443-6156
Entity
Organization
Contact information
Practice address
12550 SE 93RD AVE, STE 265, CLACKAMAS, OR 97015-9786
(503) 659-9155
(503) 659-7336
Mailing address
16083 SW UPPER BOONES FERRY RD, SUITE 300, TIGARD, OR 97224-7736
(503) 443-6156
(503) 639-9699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CG0695
RR MEDICARE
OR
Enumeration date
12/19/2005
Last updated
10/29/2012
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