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NPI Code Detail

MEDICARE: THERAPEUTIC ASSOCIATES, INC

MEDICARE: THERAPEUTIC ASSOCIATES, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist
2225100000XPhysical Therapist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1622875700OTHEROROWCP

General Provider Information

NPI Number : 1851842751
Entity Type Code : Organization
Provider Name (Legal Business Name) : THERAPEUTIC ASSOCIATES, INC
Provider Business Mailing Address
First Line : 16083 SW UPPER BOONES FERRY RD
Second Line : SUITE 300
City : TIGARD
State : OR
Zip : 97224-7736
Country : US
Telephone Number : 800-219-8835
Fax Number : 503-639-9699
Provider Business Practice Location Address
First Line : 8324 SE 17TH AVE
Second Line :
City : PORTLAND
State : OR
Zip : 97202-7307
Country : US
Telephone Number : 800-219-8835
Fax Number : 503-639-9699
Authorized Official
Title or Position : CHIEF OPERATING OFFICER
Name : TODD GIFFORD
Credential :
Telephone Number : 800-219-8835
Provider Enumeration Date : 10/17/2016
Last Update Date : 12/05/2016

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Directions to “THERAPEUTIC ASSOCIATES, INC ” Practice Location

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