Individual provider · Type 1 NPI

Shea Mertens Deklotz, PA-C

Surgical Physician Assistant · Portland, OR

NPI number 1679819239 Active

Practice location

3303 S Bond Ave
Portland, OR 97239-4501

Call (503) 494-4314 Map

Fax (503) 346-6810

Mailing address

1400 SW 5th Ave Ste 500
Portland, OR 97201-5537

Other practice locations

  • 2020 8th Ave Ste 200, West Linn, OR 97068-4657 · (503) 512-1212

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA159893 (OR)
Surgical Physician Assistant Primary 363AS0400XPA159893 (OR)

Surgical Physician Assistant: Definition to come...

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About NPI 1679819239

Shea Mertens Deklotz, PA-C's National Provider Identifier is 1679819239, issued on Dec 28, 2012. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Portland, OR. The record was last updated on Nov 12, 2025.