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Dmitriy Shore PA in Portland, Oregon

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Dmitriy Shore PA has Physician Assistant as his primary medical specialty. Their primary office is: 10305 Sw Park Way in Portland, Oregon. There are 3 additional office locations for Dmitriy Shore PA that can be viewed towards the end of their profile.

They're a part of the: Advanced Pain Management Center medical group which has around 3 members. You can call their office at 503-295-0730 to schedule an appointment. They also accept the Medicare-approved amount as payment in full. They attended Sorry, his university is not listed and graduated in 2000 (around 24 years of experience). They are listed as doing telehealth appointments.


Dmitriy Shore PA Office Phone and Directions

Dmitriy Shore PA
Advanced Pain Management Center
10305 Sw Park Way
Portland, Oregon 97225
503-295-0730


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Phone: 503-295-0730


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Healthcare Info for Dmitriy Shore PA

Medical School: Sorry, his university is not listed
Graduation Year: 2000
The Primary Medical Specialty for Dmitriy Shore PA is listed as: Physician Assistant
Credentials: PA
Additional Credentials:
Approximate Years of Experience: 24
PAC (PECOS ID)#: 9830143460
NPI #: 1124177902
NPI Created On: 01/09/2007
NPI Last Updated Listed as: 07/08/2007
Primary Taxonomy Code: 363AM0700X
License Number:
PA00724
Listed Gender: Male

Insurance, Services, Charges


Forms of insurance accepted by include, but are not limited to:

  • Moda Health Plan, Inc.
  • Medicare

They are listed as accepting new patients.

Languages spoken by staff include: English.


Services and Procedures include:

  1. Testing for presence of drug
  2. Established patient office or other outpatient visit, typically 15 minutes
  3. Established patient office or other outpatient, visit typically 25 minutes
  4. Physician telephone patient service, 11-20 minutes of medical discussion
  5. Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms
  6. Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic

Open Payments Data. This can include items to test (Durable Medical Equipment (DME)), Biological, Drug Samples, etc. This data must be reported to CMS.


Payments Total: $20

Number of Payments:: 1

Form of Payment: In-kind items and services

Record ID:: 795517299

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: NEUROSCIENCE

Name of Drug #1: UBRELVY

Open Associated Drug #1: 0023-6501-10


Payments Total: $19

Number of Payments:: 1

Form of Payment: In-kind items and services

Record ID:: 795517305

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: NEUROSCIENCE

Name of Drug #1: UBRELVY

Open Associated Drug #1: 0023-6501-10


Payments Total: $18

Number of Payments:: 1

Form of Payment: In-kind items and services

Record ID:: 795517311

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: NEUROSCIENCE

Name of Drug #1: UBRELVY

Open Associated Drug #1: 0023-6501-10


Payments Total: $14

Number of Payments:: 1

Form of Payment: In-kind items and services

Record ID:: 795517317

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: NEUROSCIENCE

Name of Drug #1: QULIPTA

Open Associated Drug #1: 0074-7094-30


Payments Total: $16

Number of Payments:: 1

Form of Payment: In-kind items and services

Record ID:: 795517323

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: NEUROSCIENCE

Name of Drug #1: QULIPTA

Open Associated Drug #1: 0074-7094-30


Payments Total: $25

Number of Payments:: 1

Form of Payment: In-kind items and services

Third party is a Charity:: No

Record ID:: 792566949

Being Disputed:: No

Product Related: Yes

Drug or Biological: Device

Product Category #1: PAIN MANAGEMENT

Name of Drug #1: SPECTRA WAVEWRITER


Payments Total: $19

Number of Payments:: 1

Form of Payment: In-kind items and services

Record ID:: 847347901

Being Disputed:: No

Product Related: Yes

Drug or Biological: Device

Product Category #1: Pain Management

Name of Drug #1: Nalu Neurostimulation System


Payments Total: $14

Number of Payments:: 1

Form of Payment: In-kind items and services

Ownership Interest:

Record ID:: 815545741

Being Disputed:: No

Product Related: Yes

Drug or Biological: Device

Product Category #1: Neuromodulation

Name of Drug #1: Proclaim IPG


Payments Total: $17

Number of Payments:: 1

Form of Payment: In-kind items and services

Ownership Interest:

Record ID:: 818390551

Being Disputed:: No

Product Related: Yes

Drug or Biological: Device

Product Category #1: Neuromodulation

Name of Drug #1: Proclaim IPG


Payments Total: $16

Number of Payments:: 1

Form of Payment: In-kind items and services

Ownership Interest:

Record ID:: 818393005

Being Disputed:: No

Product Related: Yes

Drug or Biological: Device

Product Category #1: Neuromodulation

Name of Drug #1: Proclaim IPG


Additional Office Locations

1. Uptown Providers Pc
397 Warner Milne Rd
Oregon City, OR 97045
Group Members: 28

Phone: 503-295-0730

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2. Uptown Providers Pc
25 Nw 23rd Pl
Portland, OR 97210
Suite 11
Group Members: 28

Phone: 503-295-0730

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3. Uptown Providers Pc
11786 Nw Cedar Falls Dr
Portland, OR 97229
Suite 120
Group Members: 28

Phone: 503-295-0730

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Providers in Advanced Pain Management Center

1.Vladimir Fiks Md

10305 Sw Park Way
Portland Or 97225-5033
Advanced Pain Management Center
Interventional Pain Management

2.Bridget Lahm Pa

10305 Sw Park Way
Portland Or 97225-5033
Advanced Pain Management Center
Physician Assistant

3.Dmitriy Shore Pa

10305 Sw Park Way
Portland Or 97225-5033
Advanced Pain Management Center
Physician Assistant

View all 3 members of Advanced Pain Management Center medical group