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
1	225X00000X	Occupational Therapist
2	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1265791560
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	:	207 PHYSICAL EDUCATION BUILDING
Second Line	:
City	:	CHENEY
State	:	WA
Zip	:	99004-2476
Country	:	US
Telephone Number	:	509-466-4379
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	:	05/08/2012
Last Update Date	:	05/23/2023

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