Individual provider · Type 1 NPI

Kyleigh Siu Jun Mieko Holei Corpuz

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

NPI number 1629965991 Active

Practice location

1837 Pacific Ave Apt 304
Forest Grove, OR 97116-3135

Call (808) 315-3678 Map

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
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 1629965991

Kyleigh Siu Jun Mieko Holei Corpuz's National Provider Identifier is 1629965991, issued on Jun 19, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Forest Grove, OR. The record was last updated on Jun 19, 2025.