Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Shalyn M Vanderbloemen, PA-C

Individual provider Plastic and Reconstructive Surgery Physician · NPI 1861620114

MS. Shalyn M Vanderbloemen, PA-C is a Physician Assistant in Portland, Oregon. Qualified in 2009, 17 years ago. Practices with Legacy Good Samaritan Hospital and Medical Center, a 192-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Oregon and Tennessee.

Years since qualifying
17
Licensed in
OR, TN
In the registry since
2009
Specialties on file
4
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

2222 NW Lovejoy St Ste 606
Portland, OR 97210-5104
Phone: (503) 413-5915
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA223210 (OR)
Plastic and Reconstructive Surgery Physician Taxonomy 2086S0122X · Licence 4402 (TN)
Physician Assistant Taxonomy 363A00000X · Licence 4402 (TN)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 4402 (TN)

Record details

NPI number1861620114
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 25, 2009
Last updated in NPPESApril 8, 2025
Certification dateApril 8, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Legacy Good Samaritan Hospital And Medical Center — 192 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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