Provider Demographics
NPI:1346850500
Name:OPPORTUNITY CONNECTIONS, INC.
Entity Type:Organization
Organization Name:OPPORTUNITY CONNECTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RITA
Authorized Official - Middle Name:
Authorized Official - Last Name:RATHKEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-386-3520
Mailing Address - Street 1:PO BOX 698
Mailing Address - Street 2:
Mailing Address - City:HOOD RIVER
Mailing Address - State:OR
Mailing Address - Zip Code:97031-0022
Mailing Address - Country:US
Mailing Address - Phone:541-386-3520
Mailing Address - Fax:541-386-7788
Practice Address - Street 1:1102 12TH ST
Practice Address - Street 2:
Practice Address - City:HOOD RIVER
Practice Address - State:OR
Practice Address - Zip Code:97031-1602
Practice Address - Country:US
Practice Address - Phone:541-386-3520
Practice Address - Fax:541-386-7788
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-03
Last Update Date:2020-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health