Organization
BECAN HEALTH HUB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN ISHIMWE (CEO)
(402) 580-8361
Entity
Organization
Contact information
Practice address
10725 SW BARBUR BLVD STE 230, PORTLAND, OR 97219-8654
(402) 580-8361
Mailing address
10725 SW BARBUR BLVD, PORTLAND, OR 97219-8676
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/19/2024
Last updated
07/19/2024
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