Individual provider · Type 1 NPI

Shay-Lyn Kwock

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

NPI number 1649996109 Active

Practice location

2355 26th Ct
Forest Grove, OR 97116-1569

Call (808) 382-2802 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 1649996109

Shay-Lyn Kwock's National Provider Identifier is 1649996109, issued on Oct 17, 2022. 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 Oct 17, 2022.