Organization
NEW DAWN RESIDENTIAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WONDWOSSEN M TEKLE (RN)
(503) 453-4085
Entity
Organization
Contact information
Practice address
10145 SW WOODARD LN, TIGARD, OR 97223-5186
(503) 453-4085
(503) 453-4085
Mailing address
10145 SW WOODARD LN, TIGARD, OR 97223-5186
(503) 453-4085
(503) 453-4085
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
—
Other
Enumeration date
09/12/2025
Last updated
09/12/2025
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