OrganizationActive
Tanasbourne Pediatrics, LLC
NPI 1245436385 · Pediatrics Physician · Beaverton, OR
Provider details
- NPI number
- 1245436385
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Raquel Apodaca, Owner(503) 690-8195
- License
- MD21108 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES 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
17895 Nw Evergreen Pkwy Ste 110
Beaverton, OR 97006-7402
Phone: (503) 690-8195
Fax: (503) 629-5806
Street-level locationGet directions
Mailing address
17895 Nw Evergreen Pkwy Ste 110
Beaverton, OR 97006-7402
Registry dates
- Enumerated
- 2007-06-25
- Last updated
- 2026-05-12
- Certified
- 2026-05-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.