Mr Scot Shoichi Itomura, PA-C - Physician Assistant in Lake Oswego, OR

Mr Scot Shoichi Itomura, PA-C is a Physician Assistant based in Lake Oswego, Oregon. Mr Scot Shoichi Itomura is licensed to practice in Oregon (license number PA01184) and his current practice location is 17704 Jean Way, Ste 101, Lake Oswego, Oregon. He can be reached at his office (for appointments etc.) via phone at (503) 699-0370.

NPI number for Mr Scot Shoichi Itomura is 1275669806 and his current mailing address is 1013 Sw Gaines St, Portland, Oregon. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1275669806.

Contact Information

Mr Scot Shoichi Itomura, PA-C
17704 Jean Way, Ste 101,
Lake Oswego, OR 97035-5497
(503) 699-0370
Not Available



Provider's Profile

Full NameMr Scot Shoichi Itomura
GenderMale
SpecialityPhysician Assistant
Location17704 Jean Way, Lake Oswego, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1275669806
  • Provider Enumeration Date: 02/26/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mr Scot Shoichi Itomura such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275669806NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA01184 (Oregon)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Scot Shoichi Itomura is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Scot Shoichi Itomura, PA-C
1013 Sw Gaines St,
Portland, OR 97239-2975

Ph: (503) 721-0828
Mr Scot Shoichi Itomura, PA-C
17704 Jean Way, Ste 101,
Lake Oswego, OR 97035-5497

Ph: (503) 699-0370

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Physician Assistant Nurses in Lake Oswego, OR

Amanda Leigh Barclay, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 17550 Provost St Ste 201, Lake Oswego, OR 97034
Phone: 503-872-2440    
Ms. Julie Lyn Cramer, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 5 Centerpointe Dr Ste 600, Lake Oswego, OR 97035
Phone: 541-969-7466    Fax: 855-529-7962
Ms. Stacy R. Hampton, PHARM.D., PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 16869 65th Ave # 287, Lake Oswego, OR 97035
Phone: 541-808-1093    Fax: 541-738-2106
Megan Elaine Hunt, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 4103 Mercantile Dr, Lake Oswego, OR 97035
Phone: 503-850-9940    Fax: 503-850-6709
Colin Zelimir Barich,
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 4103 Mercantile Dr Ste B, Lake Oswego, OR 97035
Phone: 503-850-9940    
James Herbert Moorman, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 4000 Carman Dr, Unit 41, Lake Oswego, OR 97035
Phone: 503-473-6345    
Mr. Anthony Lance Johnson, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 4103 Mercantile Dr, Lake Oswego, OR 97035
Phone: 503-850-9940    Fax: 503-850-6709

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