SCOT SHOICHI ITOMURA

LAKE OSWEGO, OR
NPI1275669806
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: OR  PA01184)
Enumeration Date2007-02-26
Last Update Date2007-07-08
Business Address
Mr. SCOT SHOICHI ITOMURA PA-C
17704 JEAN WAY STE 101
LAKE OSWEGO, OR 97035-5497
Phone number: 503-699-0370
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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