IndividualActive

Shalyn Vanderbloemen, PA-C

NPI 1861620114 · Physician Assistant · Portland, OR

Provider details

NPI number: 1861620114
Entity type: Individual
Primary specialty: Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Credential: PA-C
Sex: Female
Sole proprietor: No
License: 4402 (TN)

Specialties & taxonomies

Physician AssistantPrimary363A00000XLicense PA223210 (OR)
Physician Assistants & Advanced Practice Nursing Providers
Plastic and Reconstructive Surgery Physician2086S0122XLicense 4402 (TN)
Allopathic & Osteopathic Physicians
Physician Assistant363A00000XLicense 4402 (TN)
Physician Assistants & Advanced Practice Nursing Providers
Surgical Physician Assistant363AS0400XLicense 4402 (TN)
Physician Assistants & Advanced Practice Nursing Providers

Profile Score

Detailed profile(95/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure33% of score
16 yrs in NPPES registry
Profile completeness33% of score
100% of core fields populated
Practice footprint20% of score
3 documented practice locations
Open Payments transparency13% of score
Has Open Payments disclosures (2024)

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Transparency — industry payments

Based on CMS Open Payments, 2024; not all care is captured.

$202 across 3 records (Open Payments 2024)

Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.

Practice location

2222 Nw Lovejoy St Ste 606

Portland, OR 97210-5104

Phone: (503) 413-5915

Street-level locationGet directions

More OR providers

Mailing address

Po Box 3808

Portland, OR 97208-3808

Additional practice locations (2)

777 Park Ave W
Highland Park, IL 60035-2433
Phone: (847) 432-8000
3601 the Vanderbilt Clinic
Nashville, TN 37232-2433
Phone: (615) 322-3000

Enumerated: 2009-06-25
Last updated: 2025-04-08
Certified: 2025-04-08

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.