Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. SCOT SHOICHI ITOMURA, PA-C
ActivePhysician Assistant · LAKE OSWEGO, OR
Registration Details
- NPI Number
- 1275669806
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 26, 2007 (19.162025398091 yrs)
- Last Updated
- Jul 8, 2007
- License
-
PA01184 (OR)
Practice Information
- Address
-
17704 JEAN WAYSTE 101LAKE OSWEGO, OR, 970355497Browse OR providers · Browse ZIP 97035
- Phone
- 5036990370
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in LAKE OSWEGO, OR
| Name | Credential | NPI |
|---|---|---|
| JENNIFER LEE MAESTAS | PA-C | 1437133261 |
| MRS. BARBARA JEAN BRITSCH | PA-C | 1699715227 |
| MS. NANCY MARIE CAMPBELL | PA-C | 1962518399 |
| KATHERINE L J MOLYNEUX | PA-C | 1902096936 |
| MRS. LORENA LESLIE CLINE | PA-C | 1457531147 |
| ADAM RICHARD BAILEY | PA-C | 1306096185 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.