Search › Oregon › 363A00000X
Shalyn Vanderbloemen, PA-C
NPI 1861620114 · on the registry since 2009
Practice
- Address
- 2222 Nw Lovejoy St Ste 606
Portland, OR 97210 - Phone
- (503) 413-5915
- Organisation at this address
- C.Todd Woolley Md Pc
Lester M Baskin Md Pc
Larry R. Thomas Md Llc
Samuel G Shiley Md Llc
Lovejoy Opticians Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 104
Additional practice sites
- 777 Park Ave W, Highland Park, IL
- 3601 The Vanderbilt Clinic, Nashville, TN
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 2086S0122X
363A00000X
363AS0400X - Licence states on file
- TN, OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-04-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon