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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
7150 SW DARTMOUTH ST, TIGARD, OR 97223-7614
(503) 968-3480
(503) 227-4589
Mailing address
7150 SW DARTMOUTH ST, TIGARD, OR 97223-7614
(503) 968-3480
(503) 227-4589

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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