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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 TherapistOR

General Provider Information

NPI Number : 1306822770
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 : PORTLAND
State : OR
Zip : 97224-7736
Country : US
Telephone Number : 800-219-8835
Fax Number : 503-639-9699
Provider Business Practice Location Address
First Line : 2925 RIVER RD S
Second Line : SUITE 200
City : SALEM
State : OR
Zip : 97302-9754
Country : US
Telephone Number : 503-585-4824
Fax Number : 503-370-2545
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

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Directions to “THERAPEUTIC ASSOCIATES INC ” Practice Location

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