IndividualActive
Bewuqetu Mekuriya, RN
NPI 1225925738 · Community/Behavioral Health Agency · Portland, OR
Provider details
- NPI number
- 1225925738
- Entity type
- Individual
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Credential
- RN
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Agencies
Practice location
6108 Se Clatsop St
Portland, OR 97206-0708
Phone: (202) 352-4712
Approximate (ZIP-level) locationGet directions
Mailing address
6108 Se Clatsop St
Portland, OR 97206-0708
Registry dates
- Enumerated
- 2025-06-18
- Last updated
- 2025-06-18
- Certified
- 2025-06-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.