Wondwossen M Tekle, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

201906195RN Issued in OR

Practice address

10145 SW Woodard LN
Tigard, OR 97223-5186

Phone

(503) 453-4085

Fax

(503) 747-5609

NPI assigned

Sep 11, 2025

Sex

Male

Sole proprietor

No

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

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• New Dawn Residential LLC

  • Registered Nurse
  • Tigard, OR
  • NPI 1609747880
  NPD Authorized official

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

{
    "created_epoch": "1757548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757721600000",
    "number": "1194606350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10145 SW WOODARD LN",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972235186",
            "telephone_number": "503-453-4085",
            "fax_number": "503-747-5609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10145 SW WOODARD LN",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972235186",
            "telephone_number": "503-453-4085",
            "fax_number": "503-747-5609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEKLE",
        "first_name": "WONDWOSSEN",
        "middle_name": "M",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-11",
        "last_updated": "2025-09-13",
        "certification_date": "2025-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "201906195RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Taylor, MA, PCA
• Lindsey Johnson Taylor
• Salina Pauline Taylor
• Stephanie Taylor
• Terra Taylor
• Erica Tellez
• Vicki Templeton, MA
• Ira Leon Tena
• Beatriz Tencos Garcia
• Tenderly Hospice, LLC

• Registered Nurse in Tigard, OR
• Providers in Tigard, OR by specialty
• Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2025; 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.