DMITRIY SHORE

PORTLAND, OR
NPI1124177902
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: OR  PA00724)
Enumeration Date2007-01-09
Last Update Date2007-07-08
Business Address
-- DMITRIY SHORE PA-C
10305 SW PARK WAY STE 300
PORTLAND, OR 97225-5033
Phone number: 503-295-0730
Mailing Address
-- DMITRIY SHORE PA-C
10305 SW PARK WAY STE 300
PORTLAND, OR 97225-5033
Phone number: 503-295-0730
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