Individual
ETHAN JAMES DENTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
4849 NE 138TH AVE, PORTLAND, OR 97230-3401
(503) 257-3935
Mailing address
18452 SE STEPHENS ST, PORTLAND, OR 97233-5537
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0020877
OR
Other
Enumeration date
12/31/2025
Last updated
07/09/2026
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