Dmitriy Shore, PA-C

Individual Active
NPI 1124177902
Medical Physician Assistant Portland, OR

Dmitriy Shore, PA-C holds NPI 1124177902, with a primary taxonomy of medical physician assistant and a practice location in Portland, OR. The number was issued on January 9, 2007 and the NPPES record was last updated on July 8, 2007.

This record hasn't been updated in NPPES since 2007. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X PA00724 (OR)

Practice location

10305 SW Park Way Ste 300
Portland, OR 97225-5033
Phone: (503) 295-0730

Local context

Active NPPES records list 441 providers with medical physician assistant as the primary taxonomy within 25 miles of this practice location's ZIP code, 311 of them within 10 miles.

The same primary taxonomy is listed by 715 in Oregon and 40,084 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Dmitriy Shore
Status
Active
NPI issued
Last updated in NPPES

Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.

NPPES data as of · Source: CMS NPPES

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