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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JAKE EVAN DITTRICH, PHARMACY INTERN

Active

JAKE EVAN DITTRICH, PHARMACY INTERN is a Student (Health Education/Training) healthcare provider located in CORVALLIS, Oregon. NPI 1295262830 is currently active in the NPPES registry. Verify at CMS.

Student (Health Education/Training) · CORVALLIS, OR

Registration Details

NPI Number
1295262830
Provider Type
Individual
Gender
Male
NPI Issued
May 14, 2017 (9.2966505380891 yrs)
Last Updated
May 14, 2017
License
PI-0012676 (OR)

Practice Information

Address
530 NW 27TH ST
CORVALLIS, OR, 973305223
Browse OR providers · Browse ZIP 97330
Phone
5417666835
Primary Specialty
Student (Health Education/Training)
390200000X

Other Student (Health Education/Training) Providers in CORVALLIS, OR

Name Credential NPI
PATRICK W CUMMINGS 1396803631
PHILIP JERRELL MENAGH 1922151778
PATTI A HEARTSONG 1285853267
SHANNON LEE 1578747481
ELIZABETH NICOLE TYLER-JIMENEZ 1295057644
PETE BRYANT STUDENT 1669772968
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.