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1275669806
SCOT SHOICHI ITOMURA
LAKE OSWEGO, OR
NPI
1275669806
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OR PA01184)
Enumeration Date
2007-02-26
Last Update Date
2007-07-08
Business Address
Mr. SCOT SHOICHI ITOMURA PA-C
17704 JEAN WAY STE 101
LAKE OSWEGO, OR 97035-5497
Phone number: 503-699-0370
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Mailing Address
Mr. SCOT SHOICHI ITOMURA PA-C
1013 SW GAINES ST
PORTLAND, OR 97239-2975
Phone number: 503-721-0828
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