Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bethany Jean Iltis, PHARMD

Individual provider Pharmacist · NPI 1417249137

Bethany Jean Iltis, PHARMD is a Pharmacist in Lake Oswego, Oregon. Licensed in Oregon. Registered with an NPI since 2011.

Licensed in
OR
In the registry since
2011
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

See every abbreviation used in this directory →

Practice location Address checks out

90 B Ave
Lake Oswego, OR 97034-3131
Phone: (503) 697-0990
Fax: (503) 697-8637
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 0011364 (OR)

Record details

NPI number1417249137
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedMay 13, 2011
Last updated in NPPESMay 13, 2011
Mailing address90 B Ave, Lake Oswego, OR 97034-3131

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