NPIMap

Organization Active NPI

Shena Vander Ploeg ND PC

  • Health Maintenance Organization
  • Portland, OR
National Provider Identifier
1083019723
Registry record updated May 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
SHENA VANDER PLOEG ND PC
Practice address
905 SE Ankeny St
Portland, OR 97214-1349
Phone
(971) 236-7610
Fax
(888) 398-0996
NPI assigned
Oct 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Miss Shena Marie Vander Ploeg, NDNPI 1770988115
Title
Owner
Phone
(971) 236-7610

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

905 SE Ankeny St
Portland, OR 97214-1349

Mailing address

21885 Willamette Dr
West Linn, OR 97068-3260
Phone (971) 236-7610

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1414022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431043200000",
    "number": "1083019723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21885 WILLAMETTE DR",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970683260",
            "telephone_number": "971-236-7610",
            "fax_number": "888-398-0996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 SE ANKENY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972141349",
            "telephone_number": "971-236-7610",
            "fax_number": "888-398-0996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHENA VANDER PLOEG ND PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-23",
        "last_updated": "2015-05-08",
        "status": "A",
        "authorized_official_last_name": "VANDER PLOEG",
        "authorized_official_first_name": "SHENA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "971-236-7610",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.