PEDIATRIC ASSOCIATES OF THE NORTHWEST, PC
NPI 1093670606
Pediatrics in Beaverton, OR

Active since December 17, 2025CLIA Certified · 3 labs
14795 SW MURRAY SCHOLLS DR STE 121, BEAVERTON, OR 97007(503) 673-1071(503) 227-0676 Get Directions Write a Review

NPPES record last updated: December 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pediatric Associates Of The Northwest, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEDIATRIC ASSOCIATES OF THE NORTHWEST, PC (NPI 1093670606) is a healthcare organization registered as a pediatrics in Beaverton, Oregon and active in the NPI registry since December 2025. The organization holds 3 active CLIA laboratory certificates and lists Jill Ewanchuk, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1093670606
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePEDIATRIC ASSOCIATES OF THE NORTHWEST, PC
Location Address14795 SW MURRAY SCHOLLS DR STE 121Beaverton, OR 97007-9713
Mailing Address14795 Sw Murray Scholls Dr Ste 121Beaverton, OR 97007-9713 · (503) 673-1071 · Fax (503) 227-0676
Fax(503) 227-0676
Organization SubpartYes
Authorized OfficialJill EwanchukPractice Administrator · (503) 227-0671
Enumeration DateDecember 17, 2025
NPPES CertifiedDecember 17, 2025
NPI 1093670606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
14795 SW MURRAY SCHOLLS DR STE 121, Beaverton, OR 97007

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D0623807

Pediatric Associates Of The Northwest · Portland, OR
Active · expires Aug 26, 2027
CLIA Number38D0623807
Laboratory TypePhysician Office
Certificate Effective DateAugust 27, 2025
Certificate Expiration DateAugust 26, 2027
Laboratory DirectorScott S. Spencer
Laboratory Phone(503) 227-0671
Laboratory LocationPediatric Associates Of The Northwest2701 NW Vaughn Street Ste 360, Portland, OR 97210
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 38D0622078

Pediatric Associates Of The Northwest · Tigard, OR
Active · expires Jul 24, 2027
CLIA Number38D0622078
Laboratory TypePhysician Office
Certificate Effective DateJuly 25, 2025
Certificate Expiration DateJuly 24, 2027
Laboratory DirectorScott S. Spencer
Laboratory Phone(503) 227-0671
Laboratory LocationPediatric Associates Of The Northwest7150 SW Dartmouth Street, Tigard, OR 97223
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 38D2191163

Pediatric Associates Of The Northwest · Beaverton, OR
Active · expires Jul 5, 2027
CLIA Number38D2191163
Laboratory TypePhysician Office
Certificate Effective DateJuly 6, 2025
Certificate Expiration DateJuly 5, 2027
Laboratory DirectorScott S. Spencer
Laboratory Phone(503) 227-0671
Laboratory LocationPediatric Associates Of The Northwest14795 SW Murray Scholls Drive, Ste121, Beaverton, OR 97007
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
14795 SW MURRAY SCHOLLS DR STE 121
BEAVERTON, OR 97007
Family Medicine
14795 SW MURRAY SCHOLLS DR STE 121
BEAVERTON, OR 97007
Family Medicine
14795 SW MURRAY SCHOLLS DR STE 121
BEAVERTON, OR 97007
Community Health Worker
14795 SW MURRAY SCHOLLS DR STE 121
BEAVERTON, OR 97007
Podiatrist
14795 SW MURRAY SCHOLLS DR STE 121
BEAVERTON, OR 97007

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pediatric Associates Of The Northwest, PC's NPI number?

The NPI number for Pediatric Associates Of The Northwest, PC is 1093670606. It was assigned to this organization in the NPPES registry on December 17, 2025.

Where is Pediatric Associates Of The Northwest, PC located?

Pediatric Associates Of The Northwest, PC is located at 14795 SW Murray Scholls Dr Ste 121, Beaverton, OR 97007. The listed phone number is (503) 673-1071.

What is Pediatric Associates Of The Northwest, PC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Pediatric Associates Of The Northwest, PC hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Pediatric Associates Of The Northwest, PC was last updated on December 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.