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KALLIE MARIE MARSHALL
NPI 1730074709
Student in an Organized Health Care Education/Training Program in Portland, OR

Active since June 10, 2025
2730 S MOODY AVE, PORTLAND, OR 97201(503) 494-3633 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kallie Marie Marshall NPPES

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

KALLIE MARIE MARSHALL (NPI 1730074709) is an individual student in an organized health care education/training program in Portland, Oregon and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1730074709
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKALLIE MARIE MARSHALL
Location Address2730 S MOODY AVEPortland, OR 97201-5042
Mailing Address2730 S Moody AvePortland, OR 97201-5042
Phone(503) 494-3633
Sole ProprietorNo
Enumeration DateJune 10, 2025
NPPES CertifiedJune 10, 2025
✔ NPI 1730074709 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.
2730 S MOODY AVE, Portland, OR 97201
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Other Names 1

Former Name (1)Kallie Marie Liston

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ESHA MUKHERJEE MSD
Dentist (Prosthodontics)
2730 S MOODY AVE
PORTLAND, OR 97201
Multnomah County (502) 531-3763
DANIEL SCOTT KOSKENMAKI
Student in an Organized Health Care Education/Training Program
2730 S MOODY AVE
PORTLAND, OR 97201
Multnomah County (503) 494-8428
SARHA ELENA RUSS
Student in an Organized Health Care Education/Training Program
2730 S MOODY AVE
PORTLAND, OR 97201
Multnomah County (503) 494-3633
MARK PUSUNG
Student in an Organized Health Care Education/Training Program
2730 S MOODY AVE
PORTLAND, OR 97201
Multnomah County (503) 494-8428
KATHERINE KELLY FOSSETTA PHYSICIAN ASSISTANT
Student in an Organized Health Care Education/Training Program
2730 S MOODY AVE
PORTLAND, OR 97201
Multnomah County (503) 494-9645
LAT WIN
Student in an Organized Health Care Education/Training Program
2730 S MOODY AVE
PORTLAND, OR 97201
Multnomah County (503) 494-3633
LAUREN THOMPSON
Student in an Organized Health Care Education/Training Program
2730 S MOODY AVE
PORTLAND, OR 97201
Multnomah County (503) 494-8311
KAYLA MARIE RORVIG
Student in an Organized Health Care Education/Training Program
2730 S MOODY AVE
PORTLAND, OR 97201
Multnomah County (503) 494-3633

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kallie Marshall's NPI number?

The NPI number for Kallie Marshall is 1730074709. It was assigned to this individual provider in the NPPES registry on June 10, 2025. The provider is also known as Kallie Marie Liston.

Where is Kallie Marshall located?

Kallie Marshall practices at 2730 S Moody Ave, Portland, OR 97201. The listed phone number is (503) 494-3633.

What is Kallie Marshall's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Kallie Marshall was last updated on June 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.