NPI 1295711646
Therapeutic Associates INC
Practice location
- Address
- 5916 SW Nyberg Ln, Tualatin, OR 97062-9750
- Phone
- (503) 692-4934
- Fax
- (503) 691-9655
- Mailing address
- 16083 SW Upper Boones Ferry Rd Suite 300, Tigard, OR 97224-7736
Authorised official
- Name
- Todd Robert Gifford
- Title
- Information Systems Director
- Phone
- (503) 443-6156
Registered specialties (2)
Physical Therapist
Primary
Occupational Therapist
Registry record
- NPI
- 1295711646
- Entity type
- Organization
- NPI issued
- 19 Dec 2005
- Record last updated
- 23 Jan 2013
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.