Menelik Belete Workneh

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

605140309 Issued in WA

Practice address

8215 NE 29TH Ave
Vancouver, WA 98665-0111

Phone

(360) 952-1508

Fax

(360) 314-4942

NPI assigned

Apr 1, 2024

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1711929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1346091949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8215 NE 29TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986650111",
            "telephone_number": "360-952-1508",
            "fax_number": "360-314-4942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8215 NE 29TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986650111",
            "telephone_number": "360-952-1508",
            "fax_number": "360-314-4942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORKNEH",
        "first_name": "MENELIK",
        "middle_name": "BELETE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-04-01",
        "last_updated": "2024-04-01",
        "certification_date": "2024-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "WA",
            "license": "605140309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Punyanut Woraphiphat, LMP
• Amber Nicole Workman, NBCHWC
• Carol J Workman, MD
• Michael Lee Workman, M.D.
• Michelle A Workman, LMHC, NCC
• Heather Worley, LMP
• Jessica Worley, M.A. AAC
• Nicholas Woster
• Dale Edward Wotring, MSW
• Wright Endodontics

• Adult Care Home Facility in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Adult Care Home Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.