Individual
BETH DITMARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
7216 SW DURHAM RD, SUITE 200, PORTLAND, OR 97224-7594
(503) 718-5700
Mailing address
16787 SW WHITETAIL LN, BEAVERTON, OR 97007-6480
(503) 701-7948
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
32754
CA
183500000X
Pharmacist
Primary
6587
OR
Other
Enumeration date
07/26/2012
Last updated
07/26/2012
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