SHENA VANDER PLOEG ND PC

PORTLAND, OR
NPI1083019723
Entity TypeOrganization
Authorized ContactSHENA MARIE VANDER PLOEG
Owner
971-236-7610
Organization Subpart ?No
Primary Taxonomy302R00000X Health Maintenance Organization
Enumeration Date2014-10-23
Last Update Date2015-05-08
Business Address
SHENA VANDER PLOEG ND PC
905 SE ANKENY ST
PORTLAND, OR 97214-1349
Phone number: 971-236-7610
Mailing Address
SHENA VANDER PLOEG ND PC
21885 WILLAMETTE DR
WEST LINN, OR 97068-3260
Phone number: 971-236-7610
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