Individual
MS. SHALYN M VANDERBLOEMEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2222 NW LOVEJOY ST STE 606, PORTLAND, OR 97210-5104
(503) 413-5915
Mailing address
PO BOX 3808, PORTLAND, OR 97208-3808
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
4402
TN
363A00000X
Physician Assistant
4402
TN
363A00000X
Physician Assistant
Primary
PA223210
OR
363AS0400X
Surgical Physician Assistant
4402
TN
Other
Enumeration date
06/25/2009
Last updated
04/08/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us