Organization
MTN. RETREAT SECURED TRANSPORT
Active
Organization
MTN. RETREAT SECURED TRANSPORT
Active
Other names
Thora Enterprises, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT KENNETH RAPOZA (PRESIDENT)
(503) 666-9895
Entity
Organization
Contact information
Practice address
929 NE 181ST AVE., SUITE A, PORTLAND, OR 97230
(503) 666-9895
(503) 666-8165
Mailing address
P.O. BOX 16157, PORTLAND, OR 97292
(503) 666-9895
(503) 666-8165
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
—
OR
343800000X
Secured Medical Transport (VAN)
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116090
—
OR
05
—
9046814
—
WA
01
—
DHS128560
CHILD WELFARE
OR
Enumeration date
10/02/2009
Last updated
10/02/2009
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