Individual provider · Type 1 NPI

Shalyn M. Vanderbloemen, PA-C

Physician Assistant · Portland, OR

NPI number 1861620114 Active

Practice location

2222 NW Lovejoy St Ste 606
Portland, OR 97210-5104

Call (503) 413-5915 Map

Mailing address

PO Box 3808
Portland, OR 97208-3808

Other practice locations

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

Specialties and licenses

Taxonomy	Code	License
Plastic and Reconstructive Surgery Physician	2086S0122X	4402 (TN)
Physician Assistant	363A00000X	4402 (TN)
Surgical Physician Assistant	363AS0400X	4402 (TN)
Physician Assistant Primary	363A00000X	PA223210 (OR)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

2 other providers at this address

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About NPI 1861620114

Shalyn M. Vanderbloemen, PA-C's National Provider Identifier is 1861620114, issued on Jun 25, 2009. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Portland, OR. The record was last updated on Apr 8, 2025.