Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tanasbourne Pediatrics, LLC

Organization Pediatrics Physician · NPI 1245436385

Tanasbourne Pediatrics, LLC is a Pediatrics Physician in Beaverton, Oregon. Licensed in Oregon. Registered with an NPI since 2007.

Licensed in
OR
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

17895 NW Evergreen Pkwy Ste 110
Beaverton, OR 97006-7402
Phone: (503) 690-8195
Fax: (503) 629-5806
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence MD21108 (OR)

Record details

NPI number1245436385
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Raquel Apodaca — Owner · (503) 690-8195
NPI enumeratedJune 25, 2007
Last updated in NPPESMay 12, 2026
Certification dateMay 12, 2026
Mailing address17895 Nw Evergreen Pkwy Ste 110, Beaverton, OR 97006-7402

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