Addis Mekuria

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Practice address

9477 SE Maloney PL
Happy Valley, OR 97086-3719

Phone

(206) 475-9449

NPI assigned

Sep 11, 2026

Last updated

Sep 11, 2026By the provider in NPPES

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

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

{
    "created_epoch": "1789084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1730099540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17708 SE PARADISE DR",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972675846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9477 SE MALONEY PL",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970863719",
            "telephone_number": "206-475-9449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEKURIA",
        "first_name": "ADDIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-09-11",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madeline McCalder, DC
• Mhairi Ann McFarlane, MD
• Tanya Akemi McKee, LMT
• Alison Meacham
• Erik Meira, PT, DPT
• Mark W Melecki, PT
• Berenice Mendoza Cabello
• Jonathan Meskel
• Amy Michelle Michel, PHD
• Haley Rene Miller

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Happy Valley, OR
• Providers in Happy Valley, OR by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; 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.