Individual provider · Type 1 NPI

Bethany Jean Iltis, PharmD

Pharmacist · Lake Oswego, OR

NPI number 1417249137 Active

Practice location

90 B Ave
Lake Oswego, OR 97034-3131

Call (503) 697-0990 Map

Fax (503) 697-8637

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X0011364 (OR)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1417249137

Bethany Jean Iltis, PharmD's National Provider Identifier is 1417249137, issued on May 13, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Lake Oswego, OR. The record was last updated on May 13, 2011.