Active NPI
Kalkidan Worku, ARNP
- Family Nurse Practitioner
- Lake Oswego, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 10037023
- Practice address
- 123 C Ave
Lake Oswego, OR 97034-2353 - Phone
- (541) 316-6575
- NPI assigned
- Jul 3, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 10037023 | OR | Primary |
Addresses
Primary practice location
123 C Ave
Lake Oswego, OR 97034-2353
Mailing address
PO Box 2430
The Dalles, OR 97058-8022
Phone (541) 316-6575
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
123 C Ave
Lake Oswego, OR 97034-2353
Phone (541) 316-6575
1815 Hudson St
Longview, WA 98632-2913
Phone (541) 316-6575
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10037023 | OR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clear Choice Dermatology | Current | Accepting new patients |
Locations
123 C Ave
Lake Oswego, OR 97034
Phone (702) 550-9784
37587 Highway 26
Sandy, OR 97055
Phone (503) 506-0474
1815 E 19th St
Ste B
The Dalles, OR 97058
Phone 5413166575184
310 S Roosevelt St
Goldendale, WA 98620
Phone (509) 486-2151
1815 Hudson St
Longview, WA 98632
Phone (360) 423-3399
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751500800000",
"number": "1992695886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2430",
"city": "THE DALLES",
"state": "OR",
"postal_code": "970588022",
"telephone_number": "541-316-6575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 C AVE",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970342353",
"telephone_number": "541-316-6575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WORKU",
"first_name": "KALKIDAN",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-03",
"last_updated": "2025-07-03",
"certification_date": "2025-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "10037023",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Oswego, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.