Provider Demographics
NPI:1710118187
Name:THERAPYWORKS NW
Entity Type:Organization
Organization Name:THERAPYWORKS NW
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY, BOARD OF DIRECTORS
Authorized Official - Prefix:MRS
Authorized Official - First Name:BOBBI
Authorized Official - Middle Name:G
Authorized Official - Last Name:CULTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-663-0481
Mailing Address - Street 1:7927 SE ORIENT DR
Mailing Address - Street 2:
Mailing Address - City:GRESHAM
Mailing Address - State:OR
Mailing Address - Zip Code:97080-8847
Mailing Address - Country:US
Mailing Address - Phone:503-663-0481
Mailing Address - Fax:
Practice Address - Street 1:7927 SE ORIENT DR
Practice Address - Street 2:
Practice Address - City:GRESHAM
Practice Address - State:OR
Practice Address - Zip Code:97080-8847
Practice Address - Country:US
Practice Address - Phone:503-663-0481
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-04
Last Update Date:2009-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatricsGroup - Single Specialty