Organization
THERAPEUTIC ASSOCIATES, INC
Active
Other names
TAI - Sellwood
Organization subpart
No
Provider details
NPI number
Authorized official
TODD GIFFORD (CHIEF OPERATING OFFICER)
(800) 219-8835
Entity
Organization
Contact information
Practice address
8324 SE 17TH AVE, PORTLAND, OR 97202-7307
(800) 219-8835
(503) 639-9699
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
—
—
225X00000X
Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
622875700
OWCP
OR
Enumeration date
10/17/2016
Last updated
12/05/2016
Update your record
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