MR. Scot Shoichi Itomura, PA-C

NPI #1275669806 in Lake Oswego, Oregon

Provider Information

NPI Number: 1275669806
Entity Type: Individual
Name: MR. Scot Shoichi Itomura, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Feb 26, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 17704 JEAN WAY
Address 2: STE 101
City: Lake Oswego
State: Oregon
ZIP Code: 97035-5497
Phone: (503) 699-0370

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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