BETHANY JEAN ILTIS

LAKE OSWEGO, OR
NPI1417249137
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: OR  0011364)
Enumeration Date2011-05-13
Last Update Date2011-05-13
Business Address
-- BETHANY JEAN ILTIS Pharm.D.
90 B AVE
LAKE OSWEGO, OR 97034-3131
Phone number: 503-697-0990
Mailing Address
-- BETHANY JEAN ILTIS Pharm.D.
90 B AVE
LAKE OSWEGO, OR 97034-3131
Phone number: 503-697-0990