TANASBOURNE PEDIATRICS, LLC
NPI 1245436385
Pediatrics in Beaverton, OR

Q: What is Tanasbourne Pediatrics, LLC's NPI number?

The NPI number for Tanasbourne Pediatrics, LLC is 1245436385. It was assigned to this organization in the NPPES registry on June 25, 2007.

Q: What is Tanasbourne Pediatrics, LLC's specialty?

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

Active since June 25, 2007CLIA 38D0977415 · Microscopy

17895 NW EVERGREEN PKWY STE 110, BEAVERTON, OR 97006(503) 690-8195(503) 629-5806 Get Directions Write a Review

NPPES record last updated: May 12, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 12, 2026, Aug 22, 2020 (2 updates tracked since 2020).

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About Tanasbourne Pediatrics, Llc NPPES

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

TANASBOURNE PEDIATRICS, LLC (NPI 1245436385) is a healthcare organization registered as a pediatrics in Beaverton, Oregon and active in the NPI registry since June 2007. The organization holds a CLIA Microscopy certificate valid through August 24, 2026 and lists Raquel Marie Apodaca, Owner, as its authorized official.

NPPES Registry Identity

NPI1245436385

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameTANASBOURNE PEDIATRICS, LLC

Location Address17895 NW EVERGREEN PKWY STE 110Beaverton, OR 97006-7402

Mailing Address17895 Nw Evergreen Pkwy Ste 110Beaverton, OR 97006-7402 · (503) 690-8195 · Fax (503) 629-5806

Phone(503) 690-8195

Fax(503) 629-5806

Organization SubpartNo

Authorized OfficialRaquel Marie ApodacaOwner · (503) 690-8195

Enumeration DateJune 25, 2007

Last NPPES UpdateMay 12, 20262 updates tracked since enumeration

NPPES CertifiedMay 12, 2026

✔ NPI 1245436385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in OR · MD21108

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.

17895 NW EVERGREEN PKWY STE 110, Beaverton, OR 97006

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

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 for Provider-Performed Microscopy Procedures (PPMP) 38D0977415

Tanasbourne Pediatrics · Beaverton, OR

Active · expires Aug 24, 2026

CLIA Number38D0977415

Laboratory TypePhysician Office

Certificate Effective DateAugust 25, 2024

Certificate Expiration DateAugust 24, 2026

Laboratory DirectorRaquel A. Apodaca MD

Laboratory Phone(503) 690-8195

Laboratory LocationTanasbourne Pediatrics17895 NW Evergreen Parkway #110, Beaverton, OR 97006

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Tanasbourne Pediatrics, LLC's NPI number?

The NPI number for Tanasbourne Pediatrics, LLC is 1245436385. It was assigned to this organization in the NPPES registry on June 25, 2007.

Where is Tanasbourne Pediatrics, LLC located?

Tanasbourne Pediatrics, LLC is located at 17895 NW Evergreen Pkwy Ste 110, Beaverton, OR 97006. The listed phone number is (503) 690-8195.

What is Tanasbourne Pediatrics, LLC's specialty?

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

Does Tanasbourne Pediatrics, LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 38D0977415) is associated with this NPI, valid through August 24, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Tanasbourne Pediatrics, LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Tanasbourne Pediatrics, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tanasbourne Pediatrics, LLC was last updated on May 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.