OrganizationActive
Pediatric Associates of the Northwest, PC
NPI 1174488787 · Pediatrics Physician · Tigard, OR
Provider details
- NPI number
- 1174488787
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Pediatric Associates of the Northwest, PC
- Organization subpart
- Yes
- Authorized official
- Jill Ewanchuk, Practice Administrator(503) 227-0671
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7150 Sw Dartmouth St
Tigard, OR 97223-7614
Phone: (503) 968-3480
Fax: (503) 227-4589
Street-level locationGet directions
Mailing address
7150 Sw Dartmouth St
Tigard, OR 97223-7614
Registry dates
- Enumerated
- 2025-12-17
- Last updated
- 2025-12-17
- Certified
- 2025-12-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.