Healthcare Provider Details

I. General information

NPI: 1376942821
Provider Name (Legal Business Name): RHA VENTURES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2014
Last Update Date: 08/21/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25699 SW ARGYLE AVE
WILSONVILLE OR
97070-5798
US

IV. Provider business mailing address

2406 MILL CREEK DR
SAN ANTONIO TX
78231-2219
US

V. Phone/Fax

Practice location:
  • Phone: 503-833-2662
  • Fax:
Mailing address:
  • Phone: 503-476-7026
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License Number
License Number StateOR
# 3
Primary TaxonomyN
Taxonomy Code152WL0500X
TaxonomyLow Vision Rehabilitation Optometrist
License Number
License Number StateOR
# 4
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number StateOR

VIII. Authorized Official

Name: DR. ODAY ALSHEIKH
Title or Position: CEO
Credential: MD
Phone: 218-221-6613