Bethany Jean Iltis, PHARM.D.

Pharmacist · Lake Oswego, OR

Individual Active NPI

NPI number 1417249137

Practice location

90 B Ave
Lake Oswego, OR 97034-3131
Phone
(503) 697-0990
Fax
(503) 697-8637

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NPI record

NPI
1417249137
Entity type
Individual (Type 1)
Enumeration date
May 13, 2011
Last updated
May 13, 2011
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 0011364 OR

About Dr. Iltis

Bethany Jean Iltis, PHARM.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 90 B Ave, Lake Oswego, OR 97034-3131. The NPI number 1417249137 was assigned on May 13, 2011 and the record was last updated on May 13, 2011.

Dr. Iltis lists a license in the registry: #0011364 (OR) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Bethany Jean Iltis, PHARM.D.?

The NPI number is 1417249137.

What is the phone number of Dr. Iltis?

The phone number listed for the practice location is (503) 697-0990.

Where is Dr. Iltis located?

90 B Ave, Lake Oswego, OR 97034-3131.

What is the taxonomy code for Dr. Iltis?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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