Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kanukayi Jacobsen

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1609249275

Kanukayi Jacobsen is a Student in an Organized Health Care Education/Training Program in Vancouver, Washington. Registered with an NPI since 2015.

In the registry since
2015

Practice location Address checks out

11818 SE Mill Plain Blvd 213
Vancouver, WA 98684-5089
Phone: (360) 836-4386
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1609249275
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 4, 2015
Last updated in NPPESNovember 4, 2015
Mailing address303 Ne 16th Ave, Apt 106, Portland, OR 97232-3088

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