person
Kanukayi Jacobsen
Student in an Organized Health Care Education/Training Program in Vancouver, Washington
NPI 1609249275

Kanukayi Jacobsen is a Student in an Organized Health Care Education/Training Program based in Portland, WA. Kanukayi Jacobsen practices in Vancouver, WA. The NPI Number for Kanukayi Jacobsen is 1609249275 and holds a License No. (Washington).

The current practice location address for Kanukayi Jacobsen is 11818 Se Mill Plain Blvd, Vancouver, WA and can be reached out via phone at 360-836-4386.

Location: 11818 Se Mill Plain Blvd, Vancouver, WA, 97232-3088
person
Provider Profile Details
NPI Number
1609249275
Provider Name
Kanukayi Jacobsen
Credential
Provider Entity Type
Individual
Gender
Female
Address
11818 Se Mill Plain Blvd, Vancouver, WA, 97232-3088
Phone Number
360-836-4386
Fax Number
Provider Enumeration Date
11/04/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11818 Se Mill Plain Blvd
City
State
Zip
98684-5089
Phone Number
360-836-4386
Fax Number
person
Provider Business Mailing Address Details
Address
11818 Se Mill Plain Blvd
City
State
Zip
98684-5089
Phone Number
360-836-4386
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
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.
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