Organization
THERAPEUTIC ASSOCIATES INC
Active
Other names
TAI SW Portland Physical Therapy
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
4415 SW VERMONT ST, PORTLAND, OR 97219-1020
(503) 244-0570
(503) 244-0572
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
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
12/19/2005
Last updated
10/29/2012
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