Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 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

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Food and Beverage $70 2 payments · a meal or drink at a meeting or visit, not a fee
Entertainment $26 1 payment

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Colleagues at Legacy Good Samaritan Hospital and Medical Center

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 192 clinicians in the practice; 12 are shown here.

Other providers in Portland