PEDIATRIC ASSOCIATES OF THE NORTHWEST, PC
NPI 1093670606
Pediatrics in Beaverton, OR
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
Specialties & Licenses
Group Practice 1
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, ORCertificate of Waiver 38D0622078
Pediatric Associates Of The Northwest · Tigard, ORCertificate of Waiver 38D2191163
Pediatric Associates Of The Northwest · Beaverton, OROther Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.