Ms Shalyn M Vanderbloemen, PA-C is a medicare enrolled "Physician Assistant" physician in Portland, Oregon. Her current practice location is
2222 Nw Lovejoy St Ste 606, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at
(503) 413-5915.
Ms Shalyn M Vanderbloemen is licensed to practice in Oregon (license number PA223210) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1861620114.
Physician's Profile
| Full Name | Ms Shalyn M Vanderbloemen |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 2222 Nw Lovejoy St Ste 606, Portland, Oregon |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Shalyn M Vanderbloemen attended and graduated from in
NPI Data:
- NPI Number: 1861620114
- Provider Enumeration Date: 06/25/2009
- Last Update Date: 04/08/2025
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Ms Shalyn M Vanderbloemen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1861620114 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2086S0122X | Surgery - Plastic And Reconstructive Surgery | 4402 (Tennessee) | Secondary |
| 363A00000X | Physician Assistant | 4402 (Tennessee) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | 4402 (Tennessee) | Secondary |
| 363A00000X | Physician Assistant | PA223210 (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Shalyn M Vanderbloemen is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Shalyn M Vanderbloemen, PA-C
Po Box 3808,
Portland, OR 97208-3808
Ph: () - | Ms Shalyn M Vanderbloemen, PA-C
2222 Nw Lovejoy St Ste 606,
Portland, OR 97210-5104
Ph: (503) 413-5915 |
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