Active NPI
Shena Vander Ploeg
- Naturopath
- Portland, OR
National Provider Identifier
1770988115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 2019
- Practice address
- 905 SE Ankeny St
Portland, OR 97214-1349 - Phone
- (971) 236-7610
- Fax
- (888) 398-0996
- NPI assigned
- Oct 28, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | 2019 | OR | Primary |
Addresses
Primary practice location
905 SE Ankeny St
Portland, OR 97214-1349
Mailing address
21885 Willamette Dr
West Linn, OR 97068-3260
Phone (201) 230-2517
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2019 | OR | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shena Vander Ploeg ND PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Health Maintenance Organization
- Portland, OR
- NPI 1083019723
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431043200000",
"number": "1770988115",
"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": "201-230-2517"
},
{
"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": {
"last_name": "VANDER PLOEG",
"first_name": "SHENA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-28",
"last_updated": "2015-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "OR",
"license": "2019",
"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.