MR. COREY KISSER

Student in an Organized Health Care Education/Training Program

Active Individual
NPI: 1962762393

Practice Address

3541 17TH CT
Forest Grove, OR 97116

Phone: (503) 319-9763

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X Yes -

Frequently Asked Questions

NPI 1962762393 is the National Provider Identifier for MR. COREY KISSER, a Student in an Organized Health Care Education/Training Program provider located in Forest Grove, OR. This NPI was enumerated on May 18, 2012.
MR. COREY KISSER practices at 3541 17TH CT, Forest Grove, OR 97116.

Quick Facts

NPI
1962762393
Type
Individual
Enumerated
May 18, 2012
Last Updated
May 18, 2012

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