Jake Evan Dittrich, PHARMACYINTERN
Jake Evan Dittrich, PHARMACYINTERN is a Student in an Organized Health Care Education/Training Program in Corvallis, Oregon. Licensed in Oregon. Registered with an NPI since 2017.
- Licensed in
- OR
- In the registry since
- 2017
Practice location Address checks out
530 NW 27th StCorvallis, OR 97330-5223
Phone: (541) 766-6835
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X · Licence PI-0012676 (OR) |
|---|
Record details
| NPI number | 1295262830 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PHARMACYINTERN |
| Sole proprietor | No |
| NPI enumerated | May 14, 2017 |
| Last updated in NPPES | May 14, 2017 |
| Mailing address | 530 Nw 27th St, Corvallis, OR 97330-5223 |
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