OrganizationActive
Beacon Hub LLC
NPI 1508633694 · Mental Health Clinic/Center (Including Community Mental Health Center) · Salem, OR
Provider details
- NPI number
- 1508633694
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ian Mazimpaka, Ceo(210) 769-1554
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
2355 State St Ste 101
Salem, OR 97301-4541
Phone: (210) 769-1554
Approximate (ZIP-level) locationGet directions
Mailing address
10725 Sw Barbur Blvd
Portland, OR 97219-8676
Registry dates
- Enumerated
- 2023-12-08
- Last updated
- 2023-12-08
- Certified
- 2023-12-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.