person
Jake Evan Dittrich, PHARMACYINTERN
Student in an Organized Health Care Education/Training Program in Corvallis, Oregon
NPI 1295262830

Jake Evan Dittrich is a Student in an Organized Health Care Education/Training Program based in Corvallis, OR. Jake Evan Dittrich practices in Corvallis, OR and has the professional credentials of PHARMACYINTERN. The NPI Number for Jake Evan Dittrich is 1295262830 and holds a License No. PI-0012676 (Oregon).

The current practice location address for Jake Evan Dittrich is 530 Nw 27Th St, Corvallis, OR and can be reached out via phone at 541-766-6835.

Location: 530 Nw 27Th St, Corvallis, OR, 97330-5223
person
Provider Profile Details
NPI Number
1295262830
Provider Name
Jake Evan Dittrich
Credential
PHARMACYINTERN
Provider Entity Type
Individual
Gender
Male
Address
530 Nw 27Th St, Corvallis, OR, 97330-5223
Phone Number
541-766-6835
Fax Number
Provider Enumeration Date
05/14/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
530 Nw 27Th St
City
State
Zip
97330-5223
Phone Number
541-766-6835
Fax Number
person
Provider Business Mailing Address Details
Address
530 Nw 27Th St
City
State
Zip
97330-5223
Phone Number
541-766-6835
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
PI-0012676 (Oregon)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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