Kinfe Dessie Weldekidan

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

2505638-98 Issued in OR

Practice address

4973 SE Briar CT Milwaukie Or 97267
Milwaukie, OR 97267-5973

Phone

(503) 922-9355

NPI assigned

Aug 10, 2026

Last updated

Aug 10, 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": "1786320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1457275505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4973 SE BRIAR CT MILWAUKIE OR",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972675973",
            "telephone_number": "503-922-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4973 SE BRIAR CT MILWAUKIE OR 97267",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972675973",
            "telephone_number": "503-922-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELDEKIDAN",
        "first_name": "KINFE",
        "middle_name": "DESSIE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-08-10",
        "last_updated": "2026-08-10",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "OR",
            "license": "2505638-98",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Madeleine H Welsh, MSW
• Malia L Welter, OCCUPATIONAL THERAPI

• Mental Illness Community Based Residential Treatment Facility in Milwaukie, OR
• Providers in Milwaukie, OR by specialty
• Mental Illness Community Based Residential Treatment Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.