OrganizationActive
Shena Vander Ploeg Nd PC
NPI 1083019723 · Health Maintenance Organization · Portland, OR
Provider details
- NPI number
- 1083019723
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Shena Vander Ploeg, Owner(971) 236-7610
Specialties & taxonomies
Managed Care Organizations
Practice location
905 Se Ankeny St
Portland, OR 97214-1349
Phone: (971) 236-7610
Fax: (888) 398-0996
Approximate (ZIP-level) locationGet directions
Mailing address
21885 Willamette Dr
West Linn, OR 97068-3260
Registry dates
- Enumerated
- 2014-10-23
- Last updated
- 2015-05-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.