Individual provider · Type 1 NPI

Kanukayi Jacobsen

Student in an Organized Health Care Education/Training Program · Vancouver, WA

NPI number 1609249275 Active

Practice location

11818 SE Mill Plain Blvd, 213
Vancouver, WA 98684-5089

Call (360) 836-4386 Map

Mailing address

303 NE 16th Ave, Apt 106
Portland, OR 97232-3088

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.

11 other providers at this address

Other student in an organized health care education/training program providers in Vancouver

See all in Vancouver →

About NPI 1609249275

Kanukayi Jacobsen's National Provider Identifier is 1609249275, issued on Nov 4, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Vancouver, WA. The record was last updated on Nov 4, 2015.