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PEDIATRIC ASSOCIATES OF THE NORTHWEST, PC
NPI 1174488787
Pediatrics in Tigard, OR

Active since December 17, 2025
7150 SW DARTMOUTH ST, TIGARD, OR 97223(503) 968-3480(503) 227-4589 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 1174488787) is a healthcare organization registered as a pediatrics in Tigard, Oregon and active in the NPI registry since December 2025. The organization lists Jill Ewanchuk, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1174488787
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePEDIATRIC ASSOCIATES OF THE NORTHWEST, PC
Location Address7150 SW DARTMOUTH STTigard, OR 97223-7614
Mailing Address7150 Sw Dartmouth StTigard, OR 97223-7614 · (503) 968-3480 · Fax (503) 227-4589
Phone(503) 968-3480
Fax(503) 227-4589
Organization SubpartYes
Authorized OfficialJill EwanchukPractice Administrator · (503) 227-0671
Enumeration DateDecember 17, 2025
NPPES CertifiedDecember 17, 2025
✔ NPI 1174488787 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.
7150 SW DARTMOUTH ST, Tigard, OR 97223
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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

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.

PETER REED
Pediatrics
7150 SW DARTMOUTH ST
TIGARD, OR 97223
Washington County (503) 968-3480
SHELBY MASSINGALE LCSW
Social Worker (Clinical)
7150 SW DARTMOUTH ST
TIGARD, OR 97223
Washington County (503) 968-3421
KAYLA BUKER
Pediatrics
7150 SW DARTMOUTH ST
TIGARD, OR 97223
Washington County (503) 994-1416
ELLEN PORTRAIT RN, IBCLC
Registered Nurse (Lactation Consultant)
7150 SW DARTMOUTH ST
TIGARD, OR 97223
Washington County (503) 968-3480
MRS. KATHLEEN KENNEDY RN, IBCLC
Registered Nurse (Lactation Consultant)
7150 SW DARTMOUTH ST
TIGARD, OR 97223
Washington County (503) 968-3480

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 1174488787. 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 7150 SW Dartmouth St, Tigard, OR 97223. The listed phone number is (503) 968-3480.

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

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

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.