Individual
JAMES E KONOPASEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
502 WASHINGTON ST, SUITE 206B, THE DALLES, OR 97058-2270
(541) 490-7673
(541) 298-5653
Mailing address
502 WASHINGTON ST, SUITE 206B, THE DALLES, OR 97058-2270
(541) 490-7673
(541) 298-5653
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
FC00000109
WA
171W00000X
Contractor
Primary
POLYG EXAMINER - 173
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
215538
WA DSHS PROVIDER NUMBER
WA
01
—
298043
OMAP PROVIDER NUMBER
OR
01
—
L43392
DHS PROVIDER NUMBER
OR
Enumeration date
06/29/2007
Last updated
09/11/2025
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