Individual
BEWUQETU ABEBE MEKURIYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
6108 SE CLATSOP ST, PORTLAND, OR 97206-0708
(202) 352-4712
Mailing address
6108 SE CLATSOP ST, PORTLAND, OR 97206-0708
(202) 352-4712
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/18/2025
Last updated
06/18/2025
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