Individual provider · Type 1 NPI

Kristie Wiseman

Student in an Organized Health Care Education/Training Program · Lebanon, OR

NPI number 1144158486 Active

Practice location

200 Mullins Dr
Lebanon, OR 97355-3983

Call (909) 469-5589 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1144158486

Kristie Wiseman's National Provider Identifier is 1144158486, issued on May 8, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lebanon, OR. The record was last updated on May 8, 2026.