NPI 1083019723

Shena Vander Ploeg Nd PC

Organisation Health Maintenance Organization Portland, OR

Practice location

Address: 905 SE Ankeny St, Portland, OR 97214-1349
Phone: (971) 236-7610
Fax: (888) 398-0996
Mailing address: 21885 Willamette Dr, West Linn, OR 97068-3260

Authorised official

Name: Shena Marie Vander Ploeg
Title: Owner
Phone: (971) 236-7610

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X

Other Health Maintenance Organization providers in Oregon →

Registry record

NPI: 1083019723
Entity type: Organization
NPI issued: 23 Oct 2014
Record last updated: 8 May 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.