Individual provider · Type 1 NPI

Corey Lee Kisser

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

NPI number 1962762393 Active

Practice location

3541 17th Ct
Forest Grove, OR 97116-2102

Call (503) 319-9763 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 1962762393

Corey Lee Kisser's National Provider Identifier is 1962762393, issued on May 18, 2012. 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 May 18, 2012.