Tanasbourne Pediatrics, LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD21108 Issued in OR

Legal business name

TANASBOURNE PEDIATRICS, LLC

Practice address

17895 NW Evergreen Pkwy Ste 110
Beaverton, OR 97006-7402

Phone

(503) 690-8195

Fax

(503) 629-5806

NPI assigned

Jun 25, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Raquel Marie ApodacaNPI 1346336906

Title

Owner

Phone

(503) 690-8195

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Raquel Marie Apodaca, MD

  • Pediatrics Physician
  • Aloha, OR
  • NPI 1346336906
  NPD Authorized official
• Farzana Molvi, MD

  • Pediatrics Physician
  • Hillsboro, OR
  • NPI 1497797872
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778544000000",
    "number": "1245436385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17895 NW EVERGREEN PKWY STE 110",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970067402",
            "telephone_number": "503-690-8195",
            "fax_number": "503-629-5806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17895 NW EVERGREEN PKWY STE 110",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970067402",
            "telephone_number": "503-690-8195",
            "fax_number": "503-629-5806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANASBOURNE PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A",
        "authorized_official_last_name": "APODACA",
        "authorized_official_first_name": "RAQUEL",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-690-8195"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "OR",
            "license": "MD21108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• May Tam, COTA
• Emily Tan
• Min-U Tan
• Liana Kahealani Phillips Tanaka, PHARMD
• Tanasbourne Family Medicine LLC
• Charles Taneous, RN
• Anthony Tangalin, L.M.T
• Kylie Taniguchi
• Kirsten Tankersley
• Sable Tannahill

• Pediatrics Physician in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Pediatrics Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.