person
Dmitriy Shore, PA-C
Medical Physician Assistant in Portland, Oregon
NPI 1124177902

Dmitriy Shore is a Medical Physician Assistant based in Portland, OR and is specialized in Medical. Dmitriy Shore practices in Portland, OR and has the professional credentials of PA-C. The NPI Number for Dmitriy Shore is 1124177902 and holds a License No. PA00724 (Oregon).

The current practice location address for Dmitriy Shore is 10305 Sw Park Way Ste 300, Portland, OR and can be reached out via phone at 503-295-0730 and via fax at 503-295-0731.

Location: 10305 Sw Park Way Ste 300, Portland, OR, 97225-5033
person
Provider Profile Details
NPI Number
1124177902
Provider Name
Dmitriy Shore
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
10305 Sw Park Way Ste 300, Portland, OR, 97225-5033
Phone Number
503-295-0730
Fax Number
503-295-0731
Provider Enumeration Date
01/09/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
10305 Sw Park Way Ste 300
City
State
Zip
97225-5033
Phone Number
503-295-0730
Fax Number
503-295-0731
person
Provider Business Mailing Address Details
Address
10305 Sw Park Way Ste 300
City
State
Zip
97225-5033
Phone Number
503-295-0730
Fax Number
503-295-0731
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA00724 (Oregon)
Definition
Definition to come...
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