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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	197670368	OTHER	OR	OWCP

General Provider Information

NPI Number	:	1538427174
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	:	16315 SW BARROWS RD
Second Line	:	SUITE 205
City	:	BEAVERTON
State	:	OR
Zip	:	97007-9461
Country	:	US
Telephone Number	:	503-521-0500
Fax Number	:	503-521-0503

Authorized Official
Title or Position	:	COO
Name	:	TODD GIFFORD
Credential	:
Telephone Number	:	800-219-8835

Provider Enumeration Date	:	05/02/2012
Last Update Date	:	05/22/2023

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Directions to “THERAPEUTIC ASSOCIATES INC ” Practice Location

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