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MR. COREY LEE KISSER
NPI 1962762393
Student in an Organized Health Care Education/Training Program in Forest Grove, OR

Active since May 18, 2012
3541 17TH CT, FOREST GROVE, OR 97116(503) 319-9763 Get Directions Write a Review

NPPES record last updated: May 18, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mr. Corey Lee Kisser NPPES

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

MR. COREY LEE KISSER (NPI 1962762393) is an individual student in an organized health care education/training program in Forest Grove, Oregon and active in the NPI registry since May 2012.

NPPES Registry Identity

NPI1962762393
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. COREY LEE KISSER
Location Address3541 17TH CTForest Grove, OR 97116-2102
Mailing Address3541 17th CtForest Grove, OR 97116-2102
Phone(503) 319-9763
Sole ProprietorNo
Enumeration DateMay 18, 2012
✔ NPI 1962762393 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.
3541 17TH CT, Forest Grove, OR 97116
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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 Corey Kisser's NPI number?

The NPI number for Corey Kisser is 1962762393. It was assigned to this individual provider in the NPPES registry on May 18, 2012.

Where is Corey Kisser located?

Corey Kisser practices at 3541 17th Ct, Forest Grove, OR 97116. The listed phone number is (503) 319-9763.

What is Corey Kisser'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 Corey Kisser was last updated on May 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.