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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