Bethany Jean Iltis, PHARM.D.

NPI #1417249137 in Lake Oswego, Oregon

Provider Information

NPI Number: 1417249137
Entity Type: Individual
Name: Bethany Jean Iltis, PHARM.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARM.D.
Enumeration Date: May 13, 2011
Last Updated: May 13, 2011

Practice Location

Address: 90 B AVE
City: Lake Oswego
State: Oregon
ZIP Code: 97034-3131
Phone: (503) 697-0990

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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