MR. SCOT SHOICHI ITOMURA PA-C
NPI 1275669806
Physician Assistant in Lake Oswego, OR

Active since February 26, 2007
17704 JEAN WAY, STE 101, LAKE OSWEGO, OR 97035(503) 699-0370 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Scot Shoichi Itomura Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. SCOT SHOICHI ITOMURA PA-C (NPI 1275669806) is an individual physician assistant in Lake Oswego, Oregon, licensed in Oregon (PA01184) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1275669806
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. SCOT SHOICHI ITOMURACredential: PA-C
Location Address17704 JEAN WAY, STE 101Lake Oswego, OR 97035-5497
Mailing Address1013 Sw Gaines StPortland, OR 97239-2975 · (503) 721-0828
Sole ProprietorNo
Enumeration DateFebruary 26, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1275669806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in OR · PA01184
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 perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
17704 JEAN WAY, Lake Oswego, OR 97035

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
17704 JEAN WAY, SUITE 105
LAKE OSWEGO, OR 97035
Otolaryngology
17704 JEAN WAY, STE 101
LAKE OSWEGO, OR 97035
Nurse Practitioner (Adult Health)
17704 JEAN WAY, 105
LAKE OSWEGO, OR 97035
Internal Medicine
17704 JEAN WAY, SUITE 105
LAKE OSWEGO, OR 97035
Otolaryngology (Otology & Neurotology)
17704 JEAN WAY
LAKE OSWEGO, OR 97035
Dermatology
17704 JEAN WAY, SUITE 102
LAKE OSWEGO, OR 97035
Otolaryngology
17704 JEAN WAY, STE 101
LAKE OSWEGO, OR 97035
Internal Medicine
17704 JEAN WAY, STE 105
LAKE OSWEGO, OR 97035

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Scot Itomura's NPI number?

The NPI number for Scot Itomura is 1275669806. It was assigned to this individual provider in the NPPES registry on February 26, 2007.

Where is Scot Itomura located?

Scot Itomura practices at 17704 Jean Way Ste 101, Lake Oswego, OR 97035. The listed phone number is (503) 699-0370.

What is Scot Itomura's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Scot Itomura was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.