Individual
SHENA VANDER PLOEG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
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
(201) 230-2517
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
2019
OR
Other
Enumeration date
10/28/2014
Last updated
05/08/2015
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