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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 TherapistWA

General Provider Information

NPI Number : 1942214804
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 : 503-443-6156
Fax Number : 503-443-1402
Provider Business Practice Location Address
First Line : 101 E HASTINGS RD
Second Line : STE J
City : SPOKANE
State : WA
Zip : 99218-4901
Country : US
Telephone Number : 509-926-5367
Fax Number : 509-466-4407
Authorized Official
Title or Position : DIR PAYER & PROVIDER RELATIONS
Name : MELISSA HAMILTON
Credential :
Telephone Number : 503-443-6156
Provider Enumeration Date : 07/28/2006
Last Update Date : 05/23/2023

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Directions to “THERAPEUTIC ASSOCIATES INC ” Practice Location

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