Individual provider · Type 1 NPI

Jake Evan Dittrich, PHARMACY INTERN

Student in an Organized Health Care Education/Training Program · Corvallis, OR

NPI number 1295262830 Active

Practice location

530 NW 27th St
Corvallis, OR 97330-5223

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XPI-0012676 (OR)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

385 other providers at this address

Other student in an organized health care education/training program providers in Corvallis

See all in Corvallis →

About NPI 1295262830

Jake Evan Dittrich, PHARMACY INTERN's National Provider Identifier is 1295262830, issued on May 14, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Corvallis, OR. The record was last updated on May 14, 2017.