Individual
WONDWOSSEN M TEKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
10145 SW WOODARD LN, TIGARD, OR 97223-5186
(503) 453-4085
(503) 747-5609
Mailing address
10145 SW WOODARD LN, TIGARD, OR 97223-5186
(503) 453-4085
(503) 747-5609
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201906195RN
OR
Other
Enumeration date
09/11/2025
Last updated
09/13/2025
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