Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Addis Mekuria

Individual provider Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1730099540

Addis Mekuria is registered under Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Happy Valley, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2026

Practice location Address checks out

9477 SE Maloney Pl
Happy Valley, OR 97086-3719
Phone: (206) 475-9449
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) Taxonomy 320900000X (OR)

Record details

NPI number1730099540
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 11, 2026
Last updated in NPPESSeptember 11, 2026
Certification dateSeptember 11, 2026

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