Iltis, Bethany Jean
Iltis, Bethany Jean is an individual health care provider with primary practice located at 90 B Ave , Lake Oswego OR 97034-3131. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Iltis, Bethany Jean can be contacted via phone (503) 697-0990.Contact Information
Primary practice address
90 B Ave
Lake Oswego OR 97034-3131
Phone: (503) 697-0990
Fax: (503) 697-8637
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 0011364 | Oregon |
Profile Details
| NPI number | 1417249137 |
|---|---|
| LBN Legal business name | Iltis, Bethany Jean |
| Credentials | PHARM.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 13th, 2011 |
| Last updated | May 13th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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