Tadesse Melka Mojo

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Practice address

7980 SW Greenhouse LN
Portland, OR 97225-3868

Phone

(971) 224-9404

NPI assigned

May 30, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Fortunate 24-Hour Residential Services LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Portland, OR
  • NPI 1356238406

  Residential Treatment Facility, Intellectual and/Or Developmental Disabilities

  NPD Authorized official

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

{
    "created_epoch": "1748563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749340800000",
    "number": "1316830102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7980 SW GREENHOUSE LN",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972253868",
            "telephone_number": "971-224-9404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7980 SW GREENHOUSE LN",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972253868",
            "telephone_number": "971-224-9404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOJO",
        "first_name": "TADESSE",
        "middle_name": "MELKA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-05-30",
        "last_updated": "2025-06-08",
        "certification_date": "2025-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "tadessemojo@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "health related info.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7980 SW Greenhouse Ln",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972253868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sarvenaz Mohtashami, PHARMACIST (PHARM.D)
• Maariyah Moinuddin
• Kristine Martha Chua Moje
• Emily Mojica
• Susana Mojica, LMT
• Stephanie Shobha Mokashi
• Mokuti Medical Arts, LLC
• Shawdon Molavi, M.D.
• Kathryn Molczan, CRNP
• Lindsay Moldovan

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Portland, OR
• Providers in Portland, OR by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.