Scot Shoichi Itomura in Portland - Physician Assistant
Scot Shoichi Itomura - NPI 1275669806
Scot Shoichi Itomura is a Physician Assistant in Portland, Oregon. Scot Shoichi Itomura practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Scot Shoichi Itomura is 1275669806. The last update date is 2007-07-08.
Scot Shoichi Itomura's current location address is 1013 Sw Gaines St, Portland, Oregon. You can contact this provider via phone number 5037210828. The mailing address for Scot Shoichi Itomura is 1013 Sw Gaines St, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Scot Shoichi Itomura |
|---|---|
| Address | 1013 Sw Gaines St, Portland, Oregon |
| Phone Number | 5037210828 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1275669806 |
|---|---|
| Provider Enumeration Date | 2007-02-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1013 Sw Gaines St |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972392975 |
| Phone Number | 5037210828 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA01184 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique 10-digit identification code issued to Scot Shoichi Itomura by the Centers for Medicare & Medicaid Services?
The Scot Shoichi Itomura has been assigned the NPI (National Provider Identifier) 1275669806 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Scot Shoichi Itomura?
The Scot Shoichi Itomura is physically situated at 1013 Sw Gaines St, in the city of Portland, state of OR, with the postal code 972392975.
What is the Scot Shoichi Itomura's specialty and taxonomy code?
The Scot Shoichi Itomura's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
When was the Scot Shoichi Itomura's 1275669806 issued?
The Scot Shoichi Itomura's 1275669806 was issued on 2007-02-26.
As of what date was the information regarding Scot Shoichi Itomura, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Scot Shoichi Itomura, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.