MR. Corey Lee Kisser is a student in an organized health care education training program in Forest Grove, OR. The provider is 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. MR. Corey Lee Kisser NPI is 1962762393. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
3541 17TH CT
FOREST GROVE, OR
ZIP 97116-102
Phone: (503) 319-9763
The enumeration date for this NPI number is 5/18/2012 and was last updated on 5/18/2012.