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Organization
PEDIATRIC ASSOCIATES OF THE NORTHWEST, PC
Active
Organization
PEDIATRIC ASSOCIATES OF THE NORTHWEST, PC
Active
Parent organization
PEDIATRIC ASSOCIATES OF THE NORTHWEST, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PEDIATRIC ASSOCIATES OF THE NORTHWEST, PC
Authorized official
JILL EWANCHUK (PRACTICE ADMINISTRATOR)
(503) 227-0671
Entity
Organization
Contact information
Practice address
2701 NW VAUGHN ST, PORTLAND, OR 97210-5311
(503) 227-0671
(503) 227-0676
Mailing address
2701 NW VAUGHN ST STE 360, PORTLAND, OR 97210-5376
(503) 227-0617
(503) 227-0676
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
12/17/2025
Last updated
12/17/2025
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