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

Mr. Corey Lee Kisser

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1962762393

Mr. Corey Lee Kisser is a Student in an Organized Health Care Education/Training Program in Forest Grove, Oregon. Registered with an NPI since 2012.

In the registry since
2012

Practice location Address checks out

3541 17th Ct
Forest Grove, OR 97116-2102
Phone: (503) 319-9763
Show map & directions

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 number1962762393
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 18, 2012
Last updated in NPPESMay 18, 2012

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