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	225100000X	Physical Therapist		OR

General Provider Information

NPI Number	:	1275519662
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	:	STE 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	:	4829 NE MARTIN LUTHER KING BLVD
Second Line	:	SUITE 101
City	:	PORTLAND
State	:	OR
Zip	:	97211-3351
Country	:	US
Telephone Number	:	503-283-8133
Fax Number	:	503-289-2312

Authorized Official
Title or Position	:	INFORMATION SYSTEMS DIRECTOR
Name	:	MR. TODD ROBERT GIFFORD
Credential	:	PT
Telephone Number	:	503-443-6156

Provider Enumeration Date	:	12/19/2005
Last Update Date	:	10/29/2012

Similar Medicare Providers

1801879614 — SHAWN VINDEL DAILEY PT
Practice Location Address:

4829 NE MARTIN LUTHER KING BLVD , STE 101
PORTLAND, OR
97211-3351

Practice Phone: 503-283-8133
Practice Fax: 503-289-2312

1861475675 — DAVID VANCE MCHENRY PT
Practice Location Address:

4829 NE MARTIN LUTHER KING BLVD , STE 101
PORTLAND, OR
97211-3351

Practice Phone: 503-283-8133
Practice Fax: 503-289-2312

1649250796 — DAVID ALLEN DEPPELER PT
Practice Location Address:

4829 NE MARTIN LUTHER KING BLVD , STE 101
PORTLAND, OR
97211-3351

Practice Phone: 503-283-8133
Practice Fax: 503-289-2312

1902950645 — DR. DANIEL JAMES SISCO N.D.
Practice Location Address:

3351 NE BROADWAY ST
PORTLAND, OR
97232-1816

Practice Phone: 503-282-9222
Practice Fax: 503-282-8116

1417135427 — MS. SARAH HATHAWAY TAYLOR LDEM
Practice Location Address:

3351 NE BROADWAY ST
PORTLAND, OR
97232-1816

Practice Phone: 503-805-4680
Practice Fax:

1639911076 — JOURNEY LYNN ARTIS
Practice Location Address:

5329 NE MARTIN LUTHER KING BLVD
PORTLAND, OR
97211-3237

Practice Phone: 503-988-5558
Practice Fax:

Directions to “THERAPEUTIC ASSOCIATES INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.