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

Shane Rovig

Individual provider Registered Nurse · NPI 1114470564

Shane Rovig is a Registered Nurse in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2016.

Licensed in
OR
In the registry since
2016

Practice location Address checks out

4531 SE Belmont St Ste 100
Portland, OR 97215-1675
Phone: (503) 215-6556
Fax: (503) 215-7985
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 200643138 (OR)

Record details

NPI number1114470564
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 2, 2016
Last updated in NPPESAugust 2, 2016

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