KANUKAYI JACOBSEN
NPI 1609249275
Student in an Organized Health Care Education/Training Program in Vancouver, WA

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since November 04, 2015

11818 SE MILL PLAIN BLVD, 213, VANCOUVER, WA 98684(360) 836-4386 Get Directions Write a Review

NPPES record last updated: November 4, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Kanukayi Jacobsen NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KANUKAYI JACOBSEN (NPI 1609249275) is an individual student in an organized health care education/training program in Vancouver, Washington and active in the NPI registry since November 2015.

NPPES Registry Identity

NPI1609249275

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameKANUKAYI JACOBSEN

Location Address11818 SE MILL PLAIN BLVD, 213Vancouver, WA 98684-5089

Mailing Address303 Ne 16th Ave, Apt 106Portland, OR 97232-3088 · (503) 310-8581

Phone(360) 836-4386

Sole ProprietorNo

Enumeration DateNovember 4, 2015

✔ NPI 1609249275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

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.

11818 SE MILL PLAIN BLVD, Vancouver, WA 98684

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