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Pediatric Associates of the Northwest, PC

NPI 1093670606ActiveOrganization· Pediatrics· Beaverton, OR

Pediatrics in Beaverton, Oregon, registered in NPPES in December 2025, part of Pediatric Associates of the Northwest, PC. The authorized official on file is Jill Ewanchuk, Practice Administrator.

Overview

NPI1093670606
StatusActive
Entity typeOrganization (subpart)
Parent organizationPediatric Associates of the Northwest, PC
NPI issuedDec 17, 2025
Last updated in NPPESDec 17, 2025
Certified by providerDec 17, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Pediatrics Primary208000000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Pediatrics providers in Beaverton

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