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Organization

SHENA VANDER PLOEG ND PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS SHENA MARIE VANDER PLOEG ND (OWNER)
(971) 236-7610
Entity
Organization

Contact information

Practice address
905 SE ANKENY ST, PORTLAND, OR 97214-1349
(971) 236-7610
(888) 398-0996
Mailing address
21885 WILLAMETTE DR, WEST LINN, OR 97068-3260
(971) 236-7610
(888) 398-0996

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary

Other

Enumeration date
10/23/2014
Last updated
05/08/2015
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